| Code | Description | Claims | Beneficiaries | Total Paid |
| A0999 |
Unlisted ambulance service |
7,403 |
5,056 |
$8.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
7,860 |
6,071 |
$478K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,945 |
4,375 |
$337K |
| A0425 |
Ground mileage, per statute mile |
14,280 |
10,110 |
$39K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
19 |
13 |
$508.02 |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
48 |
22 |
$288.00 |