| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,294 |
4,996 |
$308K |
| A0425 |
Ground mileage, per statute mile |
10,973 |
8,018 |
$290K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,505 |
2,099 |
$90K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
2,326 |
1,974 |
$16K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
979 |
802 |
$3K |
| T2005 |
Non-emergency transportation; stretcher van |
217 |
164 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
14 |
12 |
$261.76 |