| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
24,011 |
18,738 |
$3.05M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,683 |
9,200 |
$1.30M |
| A0425 |
Ground mileage, per statute mile |
19,354 |
14,550 |
$163K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,558 |
3,652 |
$86K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
175 |
132 |
$6K |
| A0998 |
Ambulance response and treatment, no transport |
16 |
16 |
$541.76 |
| 99199 |
Unlisted special service, procedure or report |
20 |
20 |
$94.80 |