| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
34,114 |
23,896 |
$1.88M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,214 |
8,392 |
$1.80M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,628 |
7,639 |
$1.75M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
12,385 |
8,292 |
$1.24M |
| A0434 |
Specialty care transport (sct) |
1,586 |
1,441 |
$640K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
234 |
217 |
$27K |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
13 |
13 |
$8K |