| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,056 |
3,409 |
$539K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,886 |
1,645 |
$275K |
| A0425 |
Ground mileage, per statute mile |
6,894 |
5,059 |
$274K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
715 |
627 |
$29K |
| A0390 |
Als mileage (per mile) |
525 |
425 |
$21K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
76 |
67 |
$2K |