| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
1,011 |
861 |
$1.29M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,395 |
2,034 |
$256K |
| A0425 |
Ground mileage, per statute mile |
4,765 |
3,815 |
$213K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
351 |
294 |
$30K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
237 |
199 |
$18K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
28 |
25 |
$3K |