| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,250 |
3,544 |
$585K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,145 |
1,786 |
$218K |
| A0998 |
Ambulance response and treatment, no transport |
3,249 |
2,110 |
$141K |
| A0390 |
Als mileage (per mile) |
2,837 |
2,339 |
$72K |
| A0380 |
Bls mileage (per mile) |
1,079 |
827 |
$18K |
| A0425 |
Ground mileage, per statute mile |
2,631 |
2,035 |
$9K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
30 |
24 |
$214.35 |