| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,602 |
2,911 |
$2.74M |
| A0425 |
Ground mileage, per statute mile |
4,967 |
3,857 |
$81K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
150 |
119 |
$12K |
| A0999 |
Unlisted ambulance service |
2,943 |
2,383 |
$7K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14 |
12 |
$785.18 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
59 |
46 |
$569.29 |