| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
945 |
817 |
$774K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,457 |
2,974 |
$471K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,782 |
3,874 |
$460K |
| A0425 |
Ground mileage, per statute mile |
9,701 |
6,912 |
$170K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,018 |
781 |
$28K |
| A0998 |
Ambulance response and treatment, no transport |
171 |
122 |
$18K |