| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,228 |
4,539 |
$1.09M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,046 |
1,917 |
$544K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,586 |
2,406 |
$436K |
| A0425 |
Ground mileage, per statute mile |
2,981 |
2,415 |
$54K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
12 |
12 |
$6K |
| A0998 |
Ambulance response and treatment, no transport |
53 |
41 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
16 |
14 |
$4K |