| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
112,347 |
95,724 |
$6.93M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
61,748 |
54,295 |
$5.86M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
33,500 |
29,112 |
$3.59M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,175 |
5,871 |
$1.11M |
| A0434 |
Specialty care transport (sct) |
4,743 |
4,520 |
$824K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
6,022 |
5,596 |
$753K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
25 |
25 |
$370.88 |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
109 |
102 |
$0.00 |