| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
8,073 |
6,625 |
$3.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,534 |
2,258 |
$1.63M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,369 |
2,084 |
$1.57M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,335 |
1,129 |
$383K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,518 |
1,223 |
$196K |