| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,924 |
4,906 |
$1.24M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,707 |
2,349 |
$648K |
| A0425 |
Ground mileage, per statute mile |
8,567 |
6,659 |
$308K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,281 |
942 |
$14K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
66 |
61 |
$11K |