| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
35,992 |
28,287 |
$8.90M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
32,103 |
25,483 |
$8.72M |
| A0425 |
Ground mileage, per statute mile |
77,677 |
55,423 |
$4.82M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,337 |
7,516 |
$1.17M |
| A0434 |
Specialty care transport (sct) |
1,730 |
1,533 |
$476K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
5,448 |
4,469 |
$62K |
| A0433 |
Advanced life support, level 2 (als 2) |
52 |
51 |
$8K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$1K |