| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,832 |
3,331 |
$1.21M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,204 |
4,951 |
$656K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,317 |
4,547 |
$487K |
| A0425 |
Ground mileage, per statute mile |
17,941 |
8,520 |
$71K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
53 |
40 |
$10K |