| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,302 |
3,020 |
$904K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,937 |
2,622 |
$644K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,329 |
1,221 |
$357K |
| A0425 |
Ground mileage, per statute mile |
4,825 |
4,244 |
$320K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
751 |
704 |
$250K |