| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
7,327 |
6,685 |
$611K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,977 |
1,909 |
$525K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,696 |
3,337 |
$303K |
| A0434 |
Specialty care transport (sct) |
237 |
219 |
$109K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
441 |
421 |
$103K |
| A0398 |
Als routine disposable supplies |
905 |
875 |
$16K |
| A0382 |
Bls routine disposable supplies |
516 |
483 |
$8K |