| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
18,757 |
14,142 |
$1.68M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,014 |
5,795 |
$1.57M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,400 |
4,332 |
$1.34M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,756 |
4,691 |
$630K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
3,821 |
3,244 |
$29K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,990 |
1,693 |
$12K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
13 |
12 |
$2K |
| A0998 |
Ambulance response and treatment, no transport |
60 |
44 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
27 |
13 |
$105.55 |