| Code | Description | Claims | Beneficiaries | Total Paid |
| A0434 |
Specialty care transport (sct) |
753 |
61 |
$522K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,983 |
1,863 |
$362K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,789 |
1,574 |
$284K |
| A0425 |
Ground mileage, per statute mile |
5,677 |
4,337 |
$203K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
248 |
241 |
$64K |
| A0999 |
Unlisted ambulance service |
88 |
85 |
$9K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
99 |
98 |
$9K |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
45 |
45 |
$949.20 |