| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12,934 |
8,910 |
$1.32M |
| A0425 |
Ground mileage, per statute mile |
30,452 |
14,979 |
$919K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,678 |
4,151 |
$574K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,939 |
2,494 |
$189K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
636 |
524 |
$3K |