| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
21,733 |
17,175 |
$2.40M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
16,251 |
13,532 |
$1.97M |
| A0425 |
Ground mileage, per statute mile |
39,448 |
27,137 |
$276K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,232 |
2,564 |
$132K |
| T2003 |
Non-emergency transportation; encounter/trip |
775 |
424 |
$109K |
| 99199 |
Unlisted special service, procedure or report |
6,278 |
5,830 |
$30K |
| A0998 |
Ambulance response and treatment, no transport |
1,032 |
814 |
$4K |