| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,246 |
7,219 |
$402K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,231 |
4,486 |
$395K |
| A0425 |
Ground mileage, per statute mile |
18,641 |
13,980 |
$266K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
826 |
742 |
$87K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,612 |
1,504 |
$51K |