| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
4,634 |
3,039 |
$530K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,572 |
1,299 |
$244K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,361 |
936 |
$115K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
649 |
542 |
$110K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
29 |
25 |
$2K |