| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
27,004 |
21,490 |
$2.96M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,160 |
7,469 |
$785K |
| A0425 |
Ground mileage, per statute mile |
33,569 |
25,853 |
$503K |
| A0390 |
Als mileage (per mile) |
2,394 |
2,075 |
$42K |
| A0380 |
Bls mileage (per mile) |
44 |
42 |
$951.24 |
| A0999 |
Unlisted ambulance service |
326 |
221 |
$248.20 |
| A0998 |
Ambulance response and treatment, no transport |
127 |
93 |
$0.00 |