| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
62,037 |
52,062 |
$19.54M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
59,600 |
52,846 |
$18.76M |
| A0425 |
Ground mileage, per statute mile |
127,329 |
102,953 |
$2.14M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,823 |
1,614 |
$296K |
| A0433 |
Advanced life support, level 2 (als 2) |
151 |
147 |
$87K |
| A0998 |
Ambulance response and treatment, no transport |
171 |
139 |
$32K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
335 |
274 |
$0.00 |