| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,303 |
4,354 |
$957K |
| A0425 |
Ground mileage, per statute mile |
7,261 |
5,300 |
$220K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
584 |
495 |
$78K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,220 |
1,030 |
$62K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,134 |
935 |
$44K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
1,528 |
1,206 |
$0.00 |