| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25,884 |
22,103 |
$7.86M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,676 |
10,178 |
$3.65M |
| A0425 |
Ground mileage, per statute mile |
43,394 |
35,094 |
$2.42M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,100 |
4,492 |
$525K |
| A0130 |
Non-emergency transportation: wheelchair van |
14,902 |
7,232 |
$505K |
| A0380 |
Bls mileage (per mile) |
17,066 |
8,786 |
$360K |
| A0434 |
Specialty care transport (sct) |
308 |
303 |
$81K |
| T2005 |
Non-emergency transportation; stretcher van |
1,578 |
1,172 |
$68K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
1,411 |
1,037 |
$13K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
45 |
41 |
$7K |
| 93041 |
|
163 |
157 |
$2K |