| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
51,005 |
44,267 |
$9.10M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
7,452 |
6,976 |
$1.92M |
| A0425 |
Ground mileage, per statute mile |
65,395 |
54,914 |
$1.78M |
| A0130 |
Non-emergency transportation: wheelchair van |
20,698 |
18,438 |
$1.23M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,929 |
1,767 |
$344K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
225 |
211 |
$37K |
| A0999 |
Unlisted ambulance service |
248 |
237 |
$10.58 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
1,144 |
1,008 |
$0.00 |