| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,209 |
4,423 |
$904K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,241 |
4,273 |
$740K |
| A0390 |
Als mileage (per mile) |
3,808 |
3,234 |
$109K |
| A0380 |
Bls mileage (per mile) |
3,673 |
2,979 |
$90K |
| A0425 |
Ground mileage, per statute mile |
3,112 |
2,508 |
$15K |
| A0998 |
Ambulance response and treatment, no transport |
306 |
206 |
$11K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,210 |
547 |
$11K |
| A0398 |
Als routine disposable supplies |
1,566 |
646 |
$9K |
| A0382 |
Bls routine disposable supplies |
969 |
676 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
34 |
26 |
$366.45 |