| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,289 |
1,997 |
$658K |
| A0425 |
Ground mileage, per statute mile |
2,934 |
2,498 |
$171K |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
230 |
209 |
$12K |
| A0398 |
Als routine disposable supplies |
185 |
168 |
$6K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
75 |
65 |
$5K |
| A0998 |
Ambulance response and treatment, no transport |
12 |
12 |
$125.00 |