| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
95,060 |
74,251 |
$14.61M |
| A0425 |
Ground mileage, per statute mile |
181,754 |
121,758 |
$6.86M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
52,357 |
38,863 |
$6.28M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
37,794 |
29,916 |
$3.66M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,276 |
2,003 |
$343K |
| A0398 |
Als routine disposable supplies |
36,075 |
29,896 |
$311K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
8,973 |
7,733 |
$108K |
| 93041 |
|
24,902 |
21,336 |
$102K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
1,936 |
1,614 |
$409.20 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16 |
13 |
$9.44 |
| J3490 |
Unclassified drugs |
318 |
234 |
$0.00 |