| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,864 |
2,764 |
$658K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,759 |
4,509 |
$311K |
| A0425 |
Ground mileage, per statute mile |
9,496 |
9,049 |
$241K |
| A0434 |
Specialty care transport (sct) |
434 |
418 |
$69K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
243 |
242 |
$17K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
30 |
28 |
$6K |
| A0999 |
Unlisted ambulance service |
216 |
205 |
$39.09 |