| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
11,894 |
9,624 |
$1.22M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,926 |
5,030 |
$471K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,456 |
1,287 |
$359K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,687 |
1,402 |
$349K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,227 |
1,932 |
$275K |
| A0998 |
Ambulance response and treatment, no transport |
156 |
109 |
$7K |