| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,428 |
16,769 |
$5.50M |
| A0425 |
Ground mileage, per statute mile |
29,776 |
22,266 |
$2.98M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,025 |
2,667 |
$833K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,584 |
4,291 |
$580K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
252 |
202 |
$44K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,484 |
1,341 |
$17K |
| A0433 |
Advanced life support, level 2 (als 2) |
69 |
63 |
$8K |