| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
20,344 |
16,556 |
$3.59M |
| A0425 |
Ground mileage, per statute mile |
23,193 |
18,795 |
$1.16M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,702 |
1,420 |
$414K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,516 |
1,388 |
$364K |
| A0434 |
Specialty care transport (sct) |
574 |
504 |
$162K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
329 |
287 |
$78K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,103 |
925 |
$17K |
| A0130 |
Non-emergency transportation: wheelchair van |
236 |
209 |
$6K |