| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
66,392 |
53,707 |
$10.31M |
| A0425 |
Ground mileage, per statute mile |
113,585 |
80,027 |
$4.33M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25,385 |
20,696 |
$3.24M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,190 |
13,482 |
$1.40M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,595 |
3,249 |
$609K |
| A0433 |
Advanced life support, level 2 (als 2) |
229 |
210 |
$21K |