| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
105,979 |
32,069 |
$11.43M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
73,887 |
14,389 |
$8.03M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
19,004 |
13,536 |
$3.56M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,370 |
7,018 |
$2.11M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
841 |
516 |
$111K |
| A0998 |
Ambulance response and treatment, no transport |
669 |
534 |
$32K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
835 |
388 |
$30K |