| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,217 |
1,938 |
$322K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,028 |
882 |
$130K |
| A0425 |
Ground mileage, per statute mile |
4,519 |
3,369 |
$94K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
159 |
133 |
$5K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$175.47 |