| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
17,966 |
8,241 |
$3.48M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
10,322 |
2,811 |
$1.09M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,267 |
2,668 |
$746K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,292 |
1,976 |
$644K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,031 |
960 |
$215K |
| A0434 |
Specialty care transport (sct) |
58 |
51 |
$27K |
| A0998 |
Ambulance response and treatment, no transport |
205 |
126 |
$6K |