| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
8,447 |
6,404 |
$763K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,678 |
2,474 |
$515K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,464 |
1,805 |
$485K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,902 |
2,649 |
$485K |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
265 |
234 |
$22K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
797 |
637 |
$3K |