| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,081 |
2,811 |
$649K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,282 |
1,860 |
$368K |
| A0425 |
Ground mileage, per statute mile |
4,806 |
4,028 |
$357K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
2,115 |
2,000 |
$209K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
26 |
25 |
$4K |