| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,935 |
3,295 |
$1.31M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,259 |
4,511 |
$1.24M |
| A0425 |
Ground mileage, per statute mile |
3,599 |
3,038 |
$482K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
131 |
66 |
$16K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
4,405 |
3,591 |
$0.00 |