| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,901 |
1,614 |
$262K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
751 |
646 |
$80K |
| A0390 |
Als mileage (per mile) |
1,047 |
848 |
$69K |
| A0425 |
Ground mileage, per statute mile |
1,401 |
1,100 |
$4K |
| A0380 |
Bls mileage (per mile) |
96 |
58 |
$2K |
| A0398 |
Als routine disposable supplies |
62 |
30 |
$336.85 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
18 |
14 |
$246.32 |