| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,796 |
5,852 |
$1.96M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,688 |
4,203 |
$1.08M |
| A0425 |
Ground mileage, per statute mile |
9,832 |
8,153 |
$64K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
326 |
294 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
44 |
38 |
$764.41 |