| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
57,161 |
47,784 |
$11.77M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
46,031 |
27,860 |
$3.73M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
23,609 |
21,052 |
$2.16M |
| A0425 |
Ground mileage, per statute mile |
84,935 |
64,240 |
$1.51M |
| S0215 |
Non-emergency transportation; mileage, per mile |
22,399 |
14,012 |
$812K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,796 |
2,606 |
$308K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
971 |
924 |
$125K |
| 4701Y |
|
403 |
339 |
$6K |
| A0434 |
Specialty care transport (sct) |
24 |
24 |
$4K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
29 |
26 |
$556.22 |