| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
21,407 |
20,079 |
$3.32M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
11,237 |
7,884 |
$1.43M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,449 |
5,136 |
$1.19M |
| A0425 |
Ground mileage, per statute mile |
39,542 |
33,243 |
$1.03M |
| A0998 |
Ambulance response and treatment, no transport |
2,958 |
2,864 |
$599K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
939 |
898 |
$196K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
259 |
214 |
$0.00 |