| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
36,561 |
24,566 |
$5.55M |
| A0425 |
Ground mileage, per statute mile |
41,441 |
27,293 |
$2.33M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,928 |
4,479 |
$958K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,837 |
3,113 |
$733K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,191 |
1,841 |
$496K |
| A0434 |
Specialty care transport (sct) |
324 |
255 |
$79K |
| A0130 |
Non-emergency transportation: wheelchair van |
1,444 |
965 |
$34K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
1,769 |
1,267 |
$29K |