| Code | Description | Claims | Beneficiaries | Total Paid |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
7,556 |
6,880 |
$12.13M |
| A0436 |
Rotary wing air mileage, per statute mile |
7,476 |
6,817 |
$11.30M |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
5,302 |
4,838 |
$7.75M |
| A0435 |
Fixed wing air mileage, per statute mile |
5,207 |
4,760 |
$6.04M |
| A0425 |
Ground mileage, per statute mile |
2,277 |
1,708 |
$415K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
522 |
461 |
$74K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
366 |
336 |
$61K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
495 |
401 |
$41K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
1,121 |
1,012 |
$10K |