| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,315 |
9,105 |
$2.49M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,077 |
7,568 |
$2.22M |
| A0425 |
Ground mileage, per statute mile |
26,039 |
18,581 |
$1.52M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,503 |
2,232 |
$474K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,901 |
2,399 |
$393K |
| A0434 |
Specialty care transport (sct) |
294 |
266 |
$59K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,586 |
1,161 |
$16K |