| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
16,948 |
12,779 |
$1.08M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,668 |
5,969 |
$907K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,039 |
5,663 |
$788K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,900 |
2,442 |
$244K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
26 |
26 |
$2K |