| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
27,725 |
21,332 |
$4.04M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,333 |
9,645 |
$2.45M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,003 |
7,606 |
$1.75M |
| A0998 |
Ambulance response and treatment, no transport |
2,010 |
1,620 |
$302K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,794 |
4,835 |
$228K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
780 |
713 |
$84K |