| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
10,292 |
3,203 |
$413K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,423 |
1,087 |
$317K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
873 |
801 |
$112K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
966 |
879 |
$112K |
| A0382 |
Bls routine disposable supplies |
1,068 |
629 |
$7K |
| A0398 |
Als routine disposable supplies |
173 |
81 |
$147.70 |