| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
19,951 |
10,312 |
$744K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,939 |
4,607 |
$590K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,767 |
2,924 |
$345K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,612 |
3,624 |
$210K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
202 |
168 |
$1K |