| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25,929 |
23,304 |
$4.03M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
15,331 |
14,380 |
$3.53M |
| A0425 |
Ground mileage, per statute mile |
49,634 |
41,867 |
$1.62M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
7,985 |
5,179 |
$1.24M |
| A0998 |
Ambulance response and treatment, no transport |
3,357 |
3,238 |
$808K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
56 |
56 |
$15K |