| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,688 |
2,324 |
$295K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,169 |
1,024 |
$128K |
| A0425 |
Ground mileage, per statute mile |
4,185 |
3,375 |
$122K |
| A0390 |
Als mileage (per mile) |
41 |
39 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
34 |
27 |
$483.60 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
14 |
13 |
$160.00 |