| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,569 |
13,038 |
$3.06M |
| A0425 |
Ground mileage, per statute mile |
25,880 |
19,942 |
$1.09M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,573 |
5,052 |
$782K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,836 |
3,417 |
$571K |
| A0998 |
Ambulance response and treatment, no transport |
2,594 |
2,484 |
$402K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
36 |
36 |
$7K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
550 |
498 |
$0.00 |