| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,325 |
9,242 |
$3.19M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,083 |
7,474 |
$3.02M |
| A0425 |
Ground mileage, per statute mile |
15,894 |
14,066 |
$392K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,283 |
4,638 |
$75K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,115 |
1,059 |
$11K |
| A0390 |
Als mileage (per mile) |
142 |
127 |
$77.31 |