| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,303 |
5,956 |
$3.05M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,406 |
3,075 |
$840K |
| A0425 |
Ground mileage, per statute mile |
12,720 |
9,116 |
$363K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
52 |
46 |
$7K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
140 |
121 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
26 |
21 |
$0.00 |