| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,237 |
1,851 |
$740K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,199 |
1,017 |
$381K |
| A0425 |
Ground mileage, per statute mile |
4,598 |
3,120 |
$318K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
142 |
105 |
$24K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
16 |
16 |
$4K |