| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
12,877 |
4,394 |
$787K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,611 |
1,609 |
$672K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,199 |
1,738 |
$463K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
823 |
639 |
$207K |
| A0382 |
Bls routine disposable supplies |
1,646 |
485 |
$1K |
| A0398 |
Als routine disposable supplies |
18 |
12 |
$4.73 |