| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,147 |
8,279 |
$1.06M |
| A0425 |
Ground mileage, per statute mile |
24,732 |
11,737 |
$360K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,531 |
2,261 |
$257K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,116 |
2,626 |
$95K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
114 |
75 |
$1K |
| A0380 |
Bls mileage (per mile) |
13 |
12 |
$280.78 |