| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
13,404 |
10,453 |
$1.55M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,158 |
2,472 |
$296K |
| A0425 |
Ground mileage, per statute mile |
12,621 |
8,457 |
$55K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,136 |
2,238 |
$46K |
| 99199 |
Unlisted special service, procedure or report |
6,989 |
6,260 |
$34K |
| A0998 |
Ambulance response and treatment, no transport |
68 |
45 |
$0.00 |