| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,619 |
7,400 |
$1.47M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,066 |
4,039 |
$668K |
| 99199 |
Unlisted special service, procedure or report |
53,704 |
52,832 |
$257K |
| A0425 |
Ground mileage, per statute mile |
12,573 |
8,799 |
$75K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
769 |
616 |
$12K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
30 |
26 |
$353.75 |