| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
23,547 |
4,308 |
$2.66M |
| A0425 |
Ground mileage, per statute mile |
25,341 |
5,430 |
$1.26M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
376 |
328 |
$93K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
334 |
277 |
$62K |
| A0999 |
Unlisted ambulance service |
2,676 |
683 |
$51.98 |
| 94761 |
|
2,459 |
1,339 |
$0.00 |
| 94760 |
|
6,172 |
1,683 |
$0.00 |