| Code | Description | Claims | Beneficiaries | Total Paid |
| A0434 |
Specialty care transport (sct) |
5,330 |
4,725 |
$2.10M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,759 |
7,581 |
$1.70M |
| A0425 |
Ground mileage, per statute mile |
17,855 |
13,068 |
$1.07M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,348 |
1,255 |
$195K |
| A0999 |
Unlisted ambulance service |
601 |
404 |
$79K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
916 |
867 |
$55K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
120 |
85 |
$12K |
| T2005 |
Non-emergency transportation; stretcher van |
93 |
76 |
$9K |
| A0380 |
Bls mileage (per mile) |
93 |
76 |
$3K |
| A0998 |
Ambulance response and treatment, no transport |
13 |
13 |
$2K |