| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,601 |
4,361 |
$664K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,943 |
2,577 |
$365K |
| A0425 |
Ground mileage, per statute mile |
17,257 |
7,590 |
$275K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,664 |
1,510 |
$40K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
237 |
176 |
$1K |