| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,105 |
2,074 |
$257K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,364 |
4,365 |
$210K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,738 |
1,125 |
$110K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,644 |
1,959 |
$110K |
| A0425 |
Ground mileage, per statute mile |
14,812 |
9,372 |
$80K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,309 |
796 |
$17.20 |