| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,140 |
12,631 |
$2.98M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16,978 |
14,458 |
$2.96M |
| A0425 |
Ground mileage, per statute mile |
37,363 |
28,259 |
$944K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,537 |
4,398 |
$861K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
163 |
157 |
$36K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
67 |
67 |
$5K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
2,959 |
2,464 |
$3K |