| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,563 |
4,231 |
$954K |
| A0425 |
Ground mileage, per statute mile |
11,007 |
6,784 |
$813K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,991 |
3,086 |
$546K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
30 |
12 |
$2K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
1,063 |
714 |
$0.00 |