| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
12,671 |
8,612 |
$1.13M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,189 |
5,140 |
$784K |
| A0425 |
Ground mileage, per statute mile |
21,458 |
13,863 |
$242K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,476 |
1,100 |
$14K |
| A0998 |
Ambulance response and treatment, no transport |
33 |
19 |
$490.23 |
| A0382 |
Bls routine disposable supplies |
50 |
40 |
$0.00 |