| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,691 |
13,196 |
$3.25M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,543 |
3,955 |
$272K |
| A0425 |
Ground mileage, per statute mile |
13,054 |
12,296 |
$201K |
| A0433 |
Advanced life support, level 2 (als 2) |
689 |
687 |
$194K |
| A0434 |
Specialty care transport (sct) |
617 |
614 |
$178K |
| A0390 |
Als mileage (per mile) |
2,694 |
2,604 |
$27K |
| A0380 |
Bls mileage (per mile) |
1,830 |
1,579 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
305 |
299 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17 |
15 |
$0.00 |