| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,462 |
1,943 |
$311K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,473 |
1,109 |
$253K |
| A0425 |
Ground mileage, per statute mile |
4,457 |
3,762 |
$103K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
445 |
422 |
$63K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
59 |
50 |
$17K |
| A0434 |
Specialty care transport (sct) |
49 |
45 |
$6K |
| A0999 |
Unlisted ambulance service |
13 |
12 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
15 |
14 |
$0.00 |