| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
763 |
731 |
$141K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,766 |
1,258 |
$136K |
| A0425 |
Ground mileage, per statute mile |
3,954 |
3,239 |
$81K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
965 |
906 |
$27K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
138 |
134 |
$12K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
282 |
276 |
$456.02 |
| A0999 |
Unlisted ambulance service |
89 |
73 |
$0.00 |