| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,781 |
2,474 |
$378K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,423 |
2,101 |
$295K |
| A0425 |
Ground mileage, per statute mile |
6,382 |
5,145 |
$76K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
99 |
90 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
105 |
102 |
$0.00 |