| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
24,525 |
10,363 |
$2.44M |
| A0425 |
Ground mileage, per statute mile |
29,150 |
13,494 |
$948K |
| A0434 |
Specialty care transport (sct) |
975 |
530 |
$774K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,081 |
2,849 |
$568K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
1,350 |
1,056 |
$40K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
3,976 |
2,067 |
$29K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
735 |
469 |
$13K |
| A0998 |
Ambulance response and treatment, no transport |
13 |
12 |
$5K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
57 |
41 |
$2K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
17 |
13 |
$213.62 |