| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 29 | 60 | 780 | $470 | $5M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 149 | 160 | 580 | $170 | $1.8M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 113 | 210 | 980 | $140 | $1.7M |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 96 | 220 | 1,730 | $120 | $1.3M |
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 3 | 10 | 280 | $2,150 | $1M |
| A0425 | Ground mileage, per statute mile | 40 | 110 | 870 | $80 | $971K |
| S0215 | Non-emergency transportation; mileage, per mile | 82 | 140 | 3,950 | $20 | $852K |
| T2003 | Non-emergency transportation; encounter/trip | 163 | 240 | 7,020 | $30 | $803.5K |
| A0080 | Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest | 36 | 80 | 2,640 | $30 | $614.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 987 | 1,180 | 1,150 | $80 | $605.7K |