| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,014 |
7,046 |
$1.76M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,620 |
4,336 |
$1.21M |
| A0425 |
Ground mileage, per statute mile |
14,489 |
12,170 |
$719K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,287 |
1,230 |
$158K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
75 |
73 |
$11K |