| Code | Description | Claims | Bene. Records | Total Paid |
| A0425 |
Ground mileage, per statute mile |
4,094 |
2,758 |
$466K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,240 |
977 |
$170K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
663 |
560 |
$97K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
592 |
423 |
$44K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
253 |
187 |
$22K |
| 0011A |
|
37 |
12 |
$0.00 |