| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
147,434 |
122,908 |
$18.45M |
| A0425 |
Ground mileage, per statute mile |
179,203 |
139,081 |
$4.92M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
30,330 |
25,332 |
$2.68M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
358 |
349 |
$51K |
| A0434 |
Specialty care transport (sct) |
231 |
223 |
$36K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
136 |
131 |
$26K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
110 |
107 |
$0.00 |