| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
12,004 |
10,036 |
$2.02M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,098 |
5,939 |
$1.03M |
| A0425 |
Ground mileage, per statute mile |
19,954 |
15,786 |
$253K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
21 |
17 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
23 |
15 |
$533.94 |