| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16,158 |
13,796 |
$1.96M |
| A0425 |
Ground mileage, per statute mile |
27,426 |
20,749 |
$1.75M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,863 |
5,278 |
$664K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,694 |
2,388 |
$247K |
| A0382 |
Bls routine disposable supplies |
6,177 |
4,595 |
$126K |
| A0434 |
Specialty care transport (sct) |
500 |
398 |
$48K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,433 |
1,259 |
$18K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
30 |
26 |
$4K |
| A0398 |
Als routine disposable supplies |
525 |
461 |
$23.07 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
567 |
497 |
$0.00 |