| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,105 |
21,467 |
$2.05M |
| A0425 |
Ground mileage, per statute mile |
35,054 |
29,547 |
$911K |
| A0434 |
Specialty care transport (sct) |
3,016 |
2,625 |
$532K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,917 |
2,725 |
$313K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,472 |
2,298 |
$262K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,495 |
1,423 |
$214K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
16 |
12 |
$270.00 |