| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
57,518 |
47,785 |
$11.77M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
44,848 |
37,660 |
$5.47M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
9,011 |
8,021 |
$1.67M |
| A0434 |
Specialty care transport (sct) |
1,576 |
1,322 |
$697K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
745 |
661 |
$165K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
4,397 |
3,750 |
$39K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
147 |
123 |
$20K |