| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,204 |
7,363 |
$1.10M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
11,647 |
9,939 |
$1.02M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,864 |
2,781 |
$449K |
| A0425 |
Ground mileage, per statute mile |
22,194 |
17,819 |
$311K |
| A0999 |
Unlisted ambulance service |
128 |
109 |
$73K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
106 |
105 |
$16K |
| A0434 |
Specialty care transport (sct) |
28 |
28 |
$5K |