| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,272 |
5,933 |
$786K |
| A0425 |
Ground mileage, per statute mile |
15,443 |
8,486 |
$321K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,321 |
944 |
$105K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,219 |
1,734 |
$27K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
477 |
376 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
76 |
58 |
$756.00 |
| A0380 |
Bls mileage (per mile) |
15 |
14 |
$588.00 |