| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,083 |
6,241 |
$1.36M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,647 |
4,363 |
$1.01M |
| A0425 |
Ground mileage, per statute mile |
13,711 |
11,194 |
$910K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,350 |
1,323 |
$223K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
310 |
276 |
$26K |