| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,068 |
2,328 |
$623K |
| A0425 |
Ground mileage, per statute mile |
13,908 |
5,200 |
$293K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,820 |
1,672 |
$177K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,025 |
981 |
$107K |
| A0382 |
Bls routine disposable supplies |
1,675 |
472 |
$11K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
180 |
108 |
$3K |
| A0398 |
Als routine disposable supplies |
257 |
249 |
$224.28 |