| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,447 |
7,052 |
$1.46M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,449 |
6,268 |
$1.23M |
| A0425 |
Ground mileage, per statute mile |
23,973 |
17,215 |
$1.02M |
| A0434 |
Specialty care transport (sct) |
3,009 |
923 |
$786K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,099 |
1,086 |
$253K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,037 |
1,010 |
$214K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,545 |
879 |
$9K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
50 |
40 |
$4K |
| 93041 |
|
114 |
112 |
$836.98 |
| A0999 |
Unlisted ambulance service |
140 |
133 |
$779.15 |