| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
14,752 |
13,547 |
$2.69M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
8,947 |
8,392 |
$876K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
3,254 |
3,203 |
$493K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,177 |
1,095 |
$287K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
640 |
596 |
$137K |
| A0433 |
Advanced life support, level 2 (als 2) |
25 |
25 |
$4K |