| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,556 |
5,039 |
$1.27M |
| A0425 |
Ground mileage, per statute mile |
8,678 |
7,271 |
$961K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,764 |
1,605 |
$347K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
155 |
155 |
$25K |
| A0998 |
Ambulance response and treatment, no transport |
74 |
73 |
$16K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
724 |
668 |
$9K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
68 |
64 |
$8K |