| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
33,988 |
25,417 |
$2.62M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
19,408 |
15,048 |
$1.63M |
| A0425 |
Ground mileage, per statute mile |
53,554 |
38,870 |
$847K |
| A0382 |
Bls routine disposable supplies |
23,249 |
17,716 |
$410K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,323 |
1,968 |
$25K |
| A0398 |
Als routine disposable supplies |
1,183 |
970 |
$44.80 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
353 |
301 |
$0.00 |
| A0999 |
Unlisted ambulance service |
15 |
13 |
$0.00 |