| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,321 |
5,568 |
$1.19M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,127 |
3,821 |
$887K |
| A0425 |
Ground mileage, per statute mile |
11,909 |
9,377 |
$673K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,256 |
1,178 |
$116K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
28 |
28 |
$4K |