| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,962 |
2,511 |
$492K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
980 |
835 |
$235K |
| A0425 |
Ground mileage, per statute mile |
4,497 |
3,627 |
$96K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
80 |
75 |
$9K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
192 |
168 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
14 |
12 |
$157.92 |