| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
10,013 |
7,918 |
$2.94M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,075 |
4,269 |
$2.58M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,110 |
1,753 |
$1.06M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,165 |
1,088 |
$644K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,051 |
973 |
$642K |