| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
4,373 |
3,893 |
$5.85M |
| A0425 |
Ground mileage, per statute mile |
9,668 |
7,916 |
$340K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,850 |
3,503 |
$321K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,408 |
3,895 |
$281K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
566 |
510 |
$65K |
| A0998 |
Ambulance response and treatment, no transport |
15 |
15 |
$0.00 |