| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
18,576 |
11,637 |
$1.73M |
| A0425 |
Ground mileage, per statute mile |
29,685 |
15,429 |
$761K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,121 |
3,375 |
$449K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,601 |
2,678 |
$82K |
| A0380 |
Bls mileage (per mile) |
24 |
16 |
$641.41 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
17 |
14 |
$0.00 |