| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,677 |
10,150 |
$6.87M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,278 |
3,804 |
$2.32M |
| A0425 |
Ground mileage, per statute mile |
17,719 |
13,987 |
$928K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,069 |
930 |
$526K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
303 |
295 |
$240K |