| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,872 |
3,865 |
$697K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,035 |
3,448 |
$652K |
| A0425 |
Ground mileage, per statute mile |
9,822 |
7,888 |
$225K |
| A0382 |
Bls routine disposable supplies |
3,184 |
2,440 |
$43K |
| A0398 |
Als routine disposable supplies |
2,166 |
1,823 |
$31K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
512 |
418 |
$5K |
| A0998 |
Ambulance response and treatment, no transport |
21 |
13 |
$0.00 |