| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,131 |
1,040 |
$313K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,159 |
1,058 |
$259K |
| A0425 |
Ground mileage, per statute mile |
1,984 |
1,668 |
$150K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
439 |
370 |
$74K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
27 |
27 |
$9K |