| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,800 |
1,659 |
$492K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,537 |
1,389 |
$347K |
| A0425 |
Ground mileage, per statute mile |
2,140 |
1,893 |
$67K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
314 |
305 |
$49K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
14 |
12 |
$0.00 |