| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,770 |
7,268 |
$1.29M |
| A0425 |
Ground mileage, per statute mile |
33,481 |
13,797 |
$1.17M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
18,736 |
3,582 |
$1.11M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,755 |
3,026 |
$487K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,276 |
1,810 |
$367K |
| A0382 |
Bls routine disposable supplies |
11,073 |
5,552 |
$79K |
| A0398 |
Als routine disposable supplies |
3,196 |
2,642 |
$29K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
489 |
376 |
$5K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,165 |
1,012 |
$0.00 |
| A4670 |
Automatic blood pressure monitor |
5,443 |
3,016 |
$0.00 |