| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,053 |
5,875 |
$1.82M |
| A0425 |
Ground mileage, per statute mile |
10,883 |
9,054 |
$1.79M |
| A0434 |
Specialty care transport (sct) |
2,259 |
1,763 |
$703K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,216 |
1,134 |
$186K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
48 |
47 |
$3K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
18 |
12 |
$0.00 |