| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
21,481 |
14,813 |
$2.47M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,898 |
8,283 |
$1.19M |
| A0425 |
Ground mileage, per statute mile |
43,980 |
25,638 |
$642K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,183 |
4,623 |
$156K |
| A0433 |
Advanced life support, level 2 (als 2) |
126 |
91 |
$25K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
539 |
413 |
$7K |
| A0398 |
Als routine disposable supplies |
262 |
225 |
$3K |
| A0380 |
Bls mileage (per mile) |
151 |
72 |
$2K |
| A0382 |
Bls routine disposable supplies |
254 |
197 |
$2K |