| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
58,247 |
44,932 |
$9.56M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
38,875 |
32,157 |
$6.95M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
93,838 |
39,312 |
$5.92M |
| A0425 |
Ground mileage, per statute mile |
128,477 |
71,627 |
$1.39M |
| S0215 |
Non-emergency transportation; mileage, per mile |
18,931 |
10,576 |
$1.13M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
4,191 |
3,475 |
$500K |
| A0434 |
Specialty care transport (sct) |
1,657 |
1,588 |
$48K |
| 4701Y |
|
1,297 |
869 |
$22K |
| A0998 |
Ambulance response and treatment, no transport |
64 |
52 |
$4K |