| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,329 |
1,169 |
$288K |
| A0425 |
Ground mileage, per statute mile |
3,268 |
2,254 |
$186K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
824 |
656 |
$144K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
251 |
213 |
$5K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
32 |
24 |
$3K |
| A0998 |
Ambulance response and treatment, no transport |
15 |
13 |
$975.00 |