| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
8,253 |
5,983 |
$1.28M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,171 |
2,484 |
$548K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,420 |
1,864 |
$323K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
227 |
195 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
74 |
67 |
$3K |