| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
29,652 |
25,325 |
$5.82M |
| A0425 |
Ground mileage, per statute mile |
45,796 |
37,453 |
$2.25M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,775 |
6,082 |
$1.81M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,284 |
6,861 |
$266K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
740 |
578 |
$40K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,928 |
2,547 |
$34K |