| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,103 |
4,644 |
$481K |
| A0425 |
Ground mileage, per statute mile |
11,412 |
7,333 |
$212K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,879 |
2,276 |
$209K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,289 |
787 |
$14K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
36 |
25 |
$106.86 |