| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,396 |
6,948 |
$794K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,082 |
2,917 |
$235K |
| A0425 |
Ground mileage, per statute mile |
10,641 |
7,309 |
$38K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
392 |
276 |
$8K |
| A0433 |
Advanced life support, level 2 (als 2) |
58 |
44 |
$7K |
| A0999 |
Unlisted ambulance service |
372 |
294 |
$1K |
| A0998 |
Ambulance response and treatment, no transport |
87 |
68 |
$0.00 |