| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
15,268 |
6,776 |
$316K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,810 |
2,495 |
$266K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,921 |
2,411 |
$177K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,698 |
2,161 |
$148K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
490 |
427 |
$34K |