| Code | Description | Claims | Beneficiaries | Total Paid |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,228 |
1,094 |
$973K |
| A0436 |
Rotary wing air mileage, per statute mile |
1,238 |
1,076 |
$509K |
| A0425 |
Ground mileage, per statute mile |
4,509 |
3,616 |
$345K |
| A0434 |
Specialty care transport (sct) |
2,026 |
1,822 |
$331K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
616 |
543 |
$271K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
612 |
507 |
$27K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
33 |
27 |
$469.21 |