| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,611 |
5,898 |
$810K |
| A0425 |
Ground mileage, per statute mile |
20,602 |
9,012 |
$440K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,772 |
2,367 |
$324K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,020 |
1,917 |
$102K |
| A0380 |
Bls mileage (per mile) |
101 |
62 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
384 |
273 |
$2K |