| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,011 |
2,782 |
$272K |
| A0425 |
Ground mileage, per statute mile |
4,531 |
2,798 |
$149K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,360 |
955 |
$74K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
351 |
239 |
$9K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
351 |
172 |
$8K |
| A0998 |
Ambulance response and treatment, no transport |
113 |
81 |
$431.98 |
| A0999 |
Unlisted ambulance service |
17 |
12 |
$0.00 |