| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,196 |
2,306 |
$763K |
| A0425 |
Ground mileage, per statute mile |
15,201 |
5,762 |
$635K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,349 |
2,731 |
$218K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
799 |
673 |
$94K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
349 |
298 |
$31K |