| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,512 |
12,912 |
$2.73M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,474 |
9,146 |
$1.73M |
| A0425 |
Ground mileage, per statute mile |
26,461 |
20,610 |
$370K |
| A0382 |
Bls routine disposable supplies |
17,977 |
13,967 |
$202K |
| A0398 |
Als routine disposable supplies |
1,628 |
1,271 |
$22K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,948 |
1,620 |
$21K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
41 |
38 |
$0.00 |
| A0998 |
Ambulance response and treatment, no transport |
884 |
819 |
$0.00 |