| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
5,516 |
4,366 |
$617K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,604 |
2,141 |
$506K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
650 |
547 |
$96K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
323 |
297 |
$36K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
15 |
12 |
$637.14 |