| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
12,717 |
10,747 |
$2.27M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
10,414 |
9,146 |
$2.21M |
| A0425 |
Ground mileage, per statute mile |
23,181 |
19,421 |
$584K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
534 |
474 |
$29K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
178 |
153 |
$10K |
| A0998 |
Ambulance response and treatment, no transport |
51 |
43 |
$4K |