| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25,741 |
21,121 |
$3.93M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14,876 |
13,615 |
$3.45M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19,810 |
15,472 |
$2.93M |
| A0425 |
Ground mileage, per statute mile |
60,853 |
44,963 |
$2.00M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
194 |
193 |
$45K |
| A0998 |
Ambulance response and treatment, no transport |
32 |
32 |
$8K |