| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,102 |
5,431 |
$300K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,625 |
1,202 |
$140K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
704 |
551 |
$71K |
| A0425 |
Ground mileage, per statute mile |
11,193 |
6,875 |
$43K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
379 |
273 |
$11K |
| A0380 |
Bls mileage (per mile) |
13 |
12 |
$211.28 |