| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,564 |
8,257 |
$1.42M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,835 |
5,447 |
$744K |
| A0425 |
Ground mileage, per statute mile |
14,017 |
10,844 |
$136K |
| 99199 |
Unlisted special service, procedure or report |
6,025 |
4,022 |
$29K |
| A0998 |
Ambulance response and treatment, no transport |
1,261 |
494 |
$3K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
93 |
65 |
$1K |
| A0999 |
Unlisted ambulance service |
260 |
162 |
$0.00 |