| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,933 |
5,946 |
$1.14M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,883 |
4,388 |
$786K |
| A0425 |
Ground mileage, per statute mile |
12,168 |
10,116 |
$328K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
1,922 |
1,812 |
$275K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
592 |
529 |
$34K |
| S0215 |
Non-emergency transportation; mileage, per mile |
129 |
119 |
$7K |
| A0380 |
Bls mileage (per mile) |
27 |
24 |
$270.20 |