| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
11,966 |
7,796 |
$1.62M |
| A0425 |
Ground mileage, per statute mile |
22,204 |
13,510 |
$878K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,907 |
3,475 |
$681K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,574 |
3,156 |
$288K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
533 |
394 |
$28K |