| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,509 |
18,095 |
$2.93M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
42,017 |
32,936 |
$2.69M |
| A0425 |
Ground mileage, per statute mile |
74,453 |
58,856 |
$1.54M |
| A0434 |
Specialty care transport (sct) |
4,861 |
4,139 |
$943K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,055 |
2,003 |
$352K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,712 |
2,609 |
$328K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
9,025 |
8,038 |
$219K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
4,388 |
3,402 |
$37K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
189 |
184 |
$27K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
934 |
801 |
$13K |
| A0999 |
Unlisted ambulance service |
2,109 |
1,753 |
$5K |
| A0380 |
Bls mileage (per mile) |
68 |
59 |
$723.79 |