| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
23,992 |
21,424 |
$5.31M |
| A0425 |
Ground mileage, per statute mile |
41,451 |
34,256 |
$2.60M |
| A0998 |
Ambulance response and treatment, no transport |
8,903 |
7,748 |
$1.34M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,252 |
8,445 |
$1.31M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,664 |
6,109 |
$925K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
811 |
797 |
$186K |
| A0433 |
Advanced life support, level 2 (als 2) |
16 |
14 |
$6K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,523 |
1,383 |
$0.00 |