| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20,250 |
15,767 |
$1.15M |
| A0425 |
Ground mileage, per statute mile |
37,026 |
24,828 |
$712K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,086 |
6,397 |
$352K |
| T2005 |
Non-emergency transportation; stretcher van |
4,602 |
3,604 |
$135K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
6,196 |
4,823 |
$41K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,166 |
2,029 |
$11K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
207 |
195 |
$3K |