| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
13,473 |
11,640 |
$1.99M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,225 |
6,909 |
$1.68M |
| A0998 |
Ambulance response and treatment, no transport |
6,833 |
6,591 |
$1.08M |
| A0425 |
Ground mileage, per statute mile |
20,662 |
18,118 |
$400K |
| A0999 |
Unlisted ambulance service |
90 |
84 |
$4K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,754 |
1,671 |
$0.00 |