| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,599 |
1,373 |
$162K |
| A0425 |
Ground mileage, per statute mile |
5,112 |
4,183 |
$142K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,031 |
885 |
$129K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
694 |
601 |
$104K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
58 |
52 |
$7K |