| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14,581 |
13,286 |
$1.35M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,920 |
4,645 |
$874K |
| A0425 |
Ground mileage, per statute mile |
21,342 |
18,921 |
$382K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,211 |
1,181 |
$249K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
71 |
69 |
$13K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
938 |
896 |
$1K |
| A0380 |
Bls mileage (per mile) |
27 |
24 |
$162.25 |
| A0999 |
Unlisted ambulance service |
31 |
24 |
$0.00 |