| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
28,277 |
21,590 |
$2.27M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,764 |
9,793 |
$1.93M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,125 |
9,236 |
$1.40M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,712 |
2,427 |
$494K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,624 |
2,142 |
$307K |