| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,546 |
5,371 |
$1.25M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,343 |
2,962 |
$745K |
| A0425 |
Ground mileage, per statute mile |
12,367 |
8,977 |
$396K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,892 |
1,648 |
$182K |
| A0998 |
Ambulance response and treatment, no transport |
854 |
681 |
$119K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
380 |
351 |
$13K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
26 |
24 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
13 |
12 |
$250.38 |