| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,222 |
2,019 |
$541K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,558 |
1,464 |
$515K |
| A0425 |
Ground mileage, per statute mile |
1,793 |
1,602 |
$68K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
163 |
156 |
$33K |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
479 |
450 |
$2K |