| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
109,959 |
86,878 |
$18.99M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
34,152 |
31,385 |
$6.62M |
| A0425 |
Ground mileage, per statute mile |
163,271 |
124,827 |
$2.44M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
16,639 |
14,335 |
$1.90M |
| A0999 |
Unlisted ambulance service |
447 |
437 |
$465K |
| A0434 |
Specialty care transport (sct) |
1,288 |
1,148 |
$343K |
| A0433 |
Advanced life support, level 2 (als 2) |
211 |
208 |
$43K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
176 |
167 |
$22K |
| 0012A |
|
264 |
264 |
$10K |
| 0011A |
|
300 |
300 |
$10K |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
14,623 |
10,984 |
$9K |
| 0002A |
|
205 |
205 |
$7K |
| 0001A |
|
228 |
228 |
$5K |
| A0130 |
Non-emergency transportation: wheelchair van |
13 |
12 |
$664.10 |
| A0380 |
Bls mileage (per mile) |
28 |
24 |
$0.00 |