| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,087 |
10,298 |
$996K |
| A0398 |
Als routine disposable supplies |
4,858 |
4,648 |
$896K |
| A0382 |
Bls routine disposable supplies |
3,083 |
2,942 |
$427K |
| A0425 |
Ground mileage, per statute mile |
14,110 |
12,952 |
$325K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,061 |
2,875 |
$203K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,918 |
1,811 |
$17K |