| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,950 |
6,450 |
$936K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,368 |
4,496 |
$569K |
| A0425 |
Ground mileage, per statute mile |
22,703 |
12,556 |
$559K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,591 |
3,184 |
$140K |
| A0380 |
Bls mileage (per mile) |
206 |
108 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
141 |
110 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
63 |
47 |
$920.00 |