| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,278 |
5,122 |
$420K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,689 |
2,610 |
$231K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,997 |
3,335 |
$128K |
| A0425 |
Ground mileage, per statute mile |
15,744 |
9,820 |
$44K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
309 |
201 |
$8K |