| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,796 |
1,474 |
$259K |
| A0425 |
Ground mileage, per statute mile |
4,091 |
3,131 |
$155K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
877 |
761 |
$61K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
116 |
94 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
18 |
15 |
$154.95 |