| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,733 |
5,678 |
$820K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,237 |
4,394 |
$454K |
| A0425 |
Ground mileage, per statute mile |
8,275 |
5,250 |
$157K |
| A0999 |
Unlisted ambulance service |
4,527 |
2,589 |
$21K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
25 |
23 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15 |
12 |
$532.94 |