| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,542 |
6,419 |
$678K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,230 |
12,006 |
$392K |
| A0425 |
Ground mileage, per statute mile |
36,405 |
18,937 |
$225K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,821 |
1,440 |
$111K |
| A0434 |
Specialty care transport (sct) |
60 |
55 |
$11K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
419 |
320 |
$3K |
| A0380 |
Bls mileage (per mile) |
128 |
118 |
$1K |
| A0100 |
Non-emergency transportation; taxi |
13 |
12 |
$0.00 |