| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,634 |
1,159 |
$163K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,460 |
987 |
$108K |
| A0425 |
Ground mileage, per statute mile |
5,092 |
2,656 |
$85K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,499 |
969 |
$28K |
| A0998 |
Ambulance response and treatment, no transport |
528 |
301 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
72 |
50 |
$2K |