| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,083 |
1,002 |
$407K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
914 |
842 |
$376K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
327 |
316 |
$91K |
| A0425 |
Ground mileage, per statute mile |
2,348 |
2,039 |
$86K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
96 |
90 |
$13K |
| A0998 |
Ambulance response and treatment, no transport |
20 |
20 |
$1K |