| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
20,602 |
15,072 |
$2.78M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,682 |
11,726 |
$1.96M |
| A0425 |
Ground mileage, per statute mile |
23,318 |
16,770 |
$681K |
| A0380 |
Bls mileage (per mile) |
9,913 |
7,684 |
$164K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,843 |
2,890 |
$142K |
| A0390 |
Als mileage (per mile) |
7,018 |
6,028 |
$110K |
| A0998 |
Ambulance response and treatment, no transport |
39 |
37 |
$0.00 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
156 |
125 |
$0.00 |