| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,701 |
8,716 |
$2.15M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,389 |
8,091 |
$1.64M |
| A0425 |
Ground mileage, per statute mile |
19,216 |
16,461 |
$480K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
307 |
251 |
$16K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
19 |
14 |
$0.00 |