| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,180 |
2,535 |
$810K |
| A0425 |
Ground mileage, per statute mile |
7,406 |
5,595 |
$473K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,484 |
1,191 |
$332K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
717 |
612 |
$56K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
364 |
320 |
$47K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
53 |
38 |
$0.00 |