| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,860 |
9,780 |
$2.75M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
22,593 |
19,103 |
$1.69M |
| A0425 |
Ground mileage, per statute mile |
37,335 |
32,130 |
$1.66M |
| A0434 |
Specialty care transport (sct) |
3,456 |
3,199 |
$1.24M |
| A0999 |
Unlisted ambulance service |
174 |
138 |
$25K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
806 |
771 |
$23K |
| 93041 |
|
1,165 |
1,151 |
$16K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
29 |
29 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
658 |
643 |
$7K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
225 |
223 |
$4K |