| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,385 |
1,328 |
$443K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,858 |
1,358 |
$403K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
797 |
758 |
$221K |
| A0425 |
Ground mileage, per statute mile |
1,503 |
1,271 |
$50K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
60 |
38 |
$18K |