| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
23,714 |
19,395 |
$1.17M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,466 |
17,106 |
$84K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,154 |
988 |
$31K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
781 |
714 |
$2K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
133 |
127 |
$83.35 |
| A0434 |
Specialty care transport (sct) |
78 |
67 |
$0.00 |