| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,375 |
2,766 |
$753K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,207 |
1,694 |
$342K |
| A0425 |
Ground mileage, per statute mile |
7,365 |
5,683 |
$96K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
624 |
552 |
$48K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
80 |
75 |
$6K |