| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,281 |
2,062 |
$283K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,144 |
1,894 |
$188K |
| A0425 |
Ground mileage, per statute mile |
5,447 |
4,738 |
$59K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
232 |
217 |
$19K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
38 |
35 |
$4K |