| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
97,669 |
71,939 |
$15.53M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
87,042 |
65,004 |
$12.65M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,267 |
7,167 |
$265K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
466 |
392 |
$63K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
137 |
128 |
$12K |