| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,628 |
3,860 |
$637K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,464 |
2,072 |
$282K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,004 |
1,294 |
$132K |
| A0425 |
Ground mileage, per statute mile |
9,313 |
6,408 |
$45K |
| A0382 |
Bls routine disposable supplies |
710 |
531 |
$7K |
| A0398 |
Als routine disposable supplies |
29 |
28 |
$278.96 |