| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
34,766 |
15,395 |
$3.66M |
| A0434 |
Specialty care transport (sct) |
2,710 |
1,849 |
$1.52M |
| A0425 |
Ground mileage, per statute mile |
41,658 |
20,542 |
$1.23M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,262 |
4,015 |
$904K |
| A0999 |
Unlisted ambulance service |
547 |
405 |
$134K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
14,092 |
5,298 |
$73K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
2,532 |
1,050 |
$37K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
1,156 |
907 |
$20K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
268 |
165 |
$9K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
270 |
186 |
$4K |