| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
6,987 |
4,942 |
$183K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,284 |
1,873 |
$139K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,154 |
2,550 |
$122K |
| A0998 |
Ambulance response and treatment, no transport |
44 |
32 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
376 |
285 |
$1K |
| T2005 |
Non-emergency transportation; stretcher van |
16 |
14 |
$715.00 |