| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
85,038 |
59,657 |
$7.84M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
33,231 |
24,306 |
$5.86M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
22,747 |
18,365 |
$3.95M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,201 |
18,344 |
$949K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,712 |
2,478 |
$217K |
| A0398 |
Als routine disposable supplies |
35 |
27 |
$15.32 |