| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
4,641 |
3,336 |
$754K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,340 |
1,067 |
$276K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,371 |
1,089 |
$256K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
202 |
167 |
$19K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
56 |
55 |
$7K |