| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,430 |
6,677 |
$508K |
| A0425 |
Ground mileage, per statute mile |
14,896 |
10,545 |
$211K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,653 |
2,958 |
$160K |
| T2005 |
Non-emergency transportation; stretcher van |
1,686 |
1,448 |
$46K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
743 |
589 |
$4K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
164 |
127 |
$520.25 |