- PPV ads that get stacked. That, several ads laid out on top of each other so that only one (if any at all) is visible.
- PPV ads that get served to bots. Sometimes purposely so, other times as a result of phantom users who replay sessions to build fake profiles for PPC purposes.
- Ad injection that replace legit ads or include new ones via browser toolbars or compromised devices.
- PPC fraud, of course, including some combined with all of the above.
- PPA fraud through cookie stuffing, meaning flooding browsers with cookies to make it look like the traffic originate from where it doesn't.
- PPA fraud through ad injection. Nothing converts better than a popover served via ad injection for the very site you're shopping on.
I'm sure I'm forgetting quite a few, but at a high level those are the main ones to be aware of. As an advertiser you generally cannot rely on the stats you're provided with.
On top of building more valuable fake user profiles for the latter two purposes, doing this allows to bypass click-density based ad fraud detection. See this article for an example of what you see when you can sometimes observe using the latter when detecting the less sophisticated fraudsters:
http://adage.com/article/digital/inside-google-s-secret-war-...
As the latter article implies, Google's team is pretty sophisticated at detecting fraud. But even then, seeing things like this suggests there are edge cases they'd like to see go away or that are hard to detect: