| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
22,801 |
15,446 |
$2.04M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,860 |
8,551 |
$1.45M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,855 |
3,411 |
$76K |
| A0425 |
Ground mileage, per statute mile |
13,992 |
9,697 |
$74K |
| A0998 |
Ambulance response and treatment, no transport |
829 |
585 |
$13K |
| 99199 |
|
1,070 |
1,070 |
$5K |
| A0382 |
Bls routine disposable supplies |
125 |
101 |
$0.00 |
| A0398 |
Als routine disposable supplies |
16 |
15 |
$0.00 |