| A0425 | Ground mileage, per statute mile | 13,430 | $60 | $765.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 6,400 | $120 | $742.5K |
| 87502 | The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly… | 6,460 | $100 | $620.4K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 3,570 | $140 | $481.4K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 4,140 | $90 | $385.3K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3,320 | $100 | $318.3K |
| 96365 | The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease. | 3,670 | $80 | $308.1K |
| 80307 | The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date. | 4,540 | $60 | $290.4K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4,280 | $60 | $235.1K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 1,920 | $120 | $232K |