| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,151 |
8,047 |
$1.43M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,027 |
4,975 |
$1.05M |
| A0425 |
Ground mileage, per statute mile |
16,027 |
12,466 |
$217K |
| A0998 |
Ambulance response and treatment, no transport |
1,065 |
882 |
$54K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
390 |
350 |
$3K |
| T2003 |
Non-emergency transportation; encounter/trip |
16 |
12 |
$106.50 |