| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
42,696 |
30,734 |
$6.02M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
21,593 |
15,751 |
$2.80M |
| A0425 |
Ground mileage, per statute mile |
78,546 |
45,727 |
$2.55M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
23,372 |
13,645 |
$1.24M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,484 |
1,321 |
$135K |
| A0434 |
Specialty care transport (sct) |
692 |
556 |
$117K |
| A0390 |
Als mileage (per mile) |
143 |
118 |
$161.62 |
| A0380 |
Bls mileage (per mile) |
135 |
102 |
$144.78 |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
5,487 |
3,320 |
$0.00 |
| 93041 |
|
166 |
154 |
$0.00 |