| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
41,579 |
35,574 |
$7.05M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,825 |
19,334 |
$4.11M |
| A0425 |
Ground mileage, per statute mile |
63,047 |
53,002 |
$1.34M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,667 |
1,451 |
$220K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
37 |
36 |
$6K |