| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
17,124 |
14,578 |
$4.08M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,007 |
7,473 |
$2.44M |
| T1016 |
Case management, each 15 minutes |
11,699 |
5,597 |
$2.29M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
11,932 |
5,821 |
$973K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,541 |
4,118 |
$692K |
| A0425 |
Ground mileage, per statute mile |
14,743 |
12,018 |
$359K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
135 |
134 |
$29K |
| A0998 |
Ambulance response and treatment, no transport |
137 |
124 |
$14K |