| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,132 |
7,152 |
$1.91M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,925 |
4,329 |
$949K |
| A0425 |
Ground mileage, per statute mile |
13,755 |
11,572 |
$397K |
| A0433 |
Advanced life support, level 2 (als 2) |
57 |
49 |
$25K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
57 |
45 |
$465.42 |
| A0999 |
Unlisted ambulance service |
49 |
48 |
$0.00 |