| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
38,383 |
26,398 |
$2.61M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,540 |
8,545 |
$1.77M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,490 |
13,234 |
$1.44M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,290 |
5,434 |
$1.04M |
| A0433 |
Advanced life support, level 2 (als 2) |
476 |
415 |
$173K |
| A0998 |
Ambulance response and treatment, no transport |
1,149 |
878 |
$79K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
195 |
173 |
$15K |
| A0434 |
Specialty care transport (sct) |
36 |
19 |
$0.00 |