| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,165 |
9,306 |
$1.62M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,144 |
6,418 |
$1.30M |
| A0425 |
Ground mileage, per statute mile |
20,627 |
15,513 |
$869K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,949 |
1,599 |
$179K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
67 |
64 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
28 |
$3K |