| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
9,792 |
6,846 |
$721K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
4,484 |
3,649 |
$592K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,555 |
2,893 |
$543K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
743 |
501 |
$59K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
30 |
28 |
$4K |