| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,908 |
5,579 |
$708K |
| A0425 |
Ground mileage, per statute mile |
15,902 |
8,070 |
$412K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,961 |
1,314 |
$151K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,055 |
1,807 |
$62K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
158 |
113 |
$3K |
| A0380 |
Bls mileage (per mile) |
28 |
14 |
$1K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
18 |
14 |
$0.00 |