| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,962 |
5,456 |
$1.06M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,543 |
5,009 |
$867K |
| A0425 |
Ground mileage, per statute mile |
15,949 |
14,049 |
$731K |
| A0130 |
Non-emergency transportation: wheelchair van |
7,686 |
1,902 |
$499K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,730 |
3,319 |
$343K |
| S0209 |
Wheelchair van, mileage, per mile |
7,495 |
1,912 |
$315K |
| A0434 |
Specialty care transport (sct) |
418 |
412 |
$91K |