| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,145 |
3,826 |
$1.05M |
| A0425 |
Ground mileage, per statute mile |
6,446 |
5,795 |
$790K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,907 |
1,786 |
$320K |
| A0998 |
Ambulance response and treatment, no transport |
615 |
597 |
$109K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
96 |
90 |
$24K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
42 |
41 |
$13K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
58 |
55 |
$0.00 |