| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,027 |
1,724 |
$267K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,570 |
1,361 |
$156K |
| A0390 |
Als mileage (per mile) |
805 |
677 |
$134K |
| A0425 |
Ground mileage, per statute mile |
3,010 |
2,303 |
$31K |
| A0998 |
Ambulance response and treatment, no transport |
368 |
288 |
$22K |
| A0380 |
Bls mileage (per mile) |
141 |
130 |
$12K |
| A0398 |
Als routine disposable supplies |
465 |
381 |
$5K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
251 |
219 |
$4K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
48 |
39 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
16 |
15 |
$75.12 |