| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
61,764 |
40,470 |
$2.06M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
26,548 |
22,285 |
$2.00M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15,267 |
12,722 |
$1.06M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
18,005 |
10,418 |
$741K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,152 |
1,049 |
$150K |
| A0433 |
Advanced life support, level 2 (als 2) |
126 |
120 |
$10K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
203 |
182 |
$0.00 |