| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,477 |
16,073 |
$16.59M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,659 |
7,072 |
$7.63M |
| A0425 |
Ground mileage, per statute mile |
27,092 |
21,460 |
$6.77M |
| A0998 |
Ambulance response and treatment, no transport |
6,593 |
6,198 |
$6.41M |
| A0382 |
Bls routine disposable supplies |
19,500 |
16,070 |
$1.07M |
| A0398 |
Als routine disposable supplies |
7,422 |
6,867 |
$413K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
75 |
75 |
$24K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
292 |
280 |
$11K |