| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,879 |
6,903 |
$2.44M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,393 |
5,641 |
$1.52M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,646 |
4,154 |
$791K |
| A0425 |
Ground mileage, per statute mile |
11,132 |
8,667 |
$599K |
| A0998 |
Ambulance response and treatment, no transport |
1,724 |
1,425 |
$137K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
397 |
386 |
$123K |
| A0433 |
Advanced life support, level 2 (als 2) |
12 |
12 |
$11K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
15 |
12 |
$25.00 |