| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,834 |
4,760 |
$366K |
| A0425 |
Ground mileage, per statute mile |
10,033 |
6,996 |
$341K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,987 |
1,710 |
$100K |
| A0998 |
Ambulance response and treatment, no transport |
265 |
157 |
$14K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
772 |
547 |
$5K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
535 |
446 |
$5K |