| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,661 |
1,623 |
$487K |
| A0434 |
Specialty care transport (sct) |
692 |
663 |
$235K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
647 |
618 |
$157K |
| A0425 |
Ground mileage, per statute mile |
1,228 |
1,189 |
$10K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
17 |
17 |
$9K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
13 |
13 |
$0.00 |