| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
14,802 |
13,125 |
$3.41M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
11,951 |
10,891 |
$2.74M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
18,922 |
14,898 |
$2.30M |
| A0425 |
Ground mileage, per statute mile |
30,261 |
24,655 |
$1.29M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,932 |
1,672 |
$236K |
| A0998 |
Ambulance response and treatment, no transport |
2,020 |
1,892 |
$158K |
| A0999 |
Unlisted ambulance service |
60 |
55 |
$28.91 |
| T2001 |
Non-emergency transportation; patient attendant/escort |
460 |
104 |
$0.00 |
| A0130 |
Non-emergency transportation: wheelchair van |
376 |
59 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
4,902 |
1,021 |
$0.00 |