| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,130 |
3,311 |
$593K |
| A0425 |
Ground mileage, per statute mile |
6,665 |
4,880 |
$256K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,510 |
951 |
$101K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
111 |
107 |
$7K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
125 |
105 |
$6K |