| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
11,896 |
9,219 |
$1.68M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,480 |
5,547 |
$1.51M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,459 |
2,134 |
$528K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
878 |
780 |
$47K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
323 |
298 |
$39K |