| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
37,615 |
27,779 |
$8.70M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
21,943 |
18,039 |
$5.86M |
| A0425 |
Ground mileage, per statute mile |
86,854 |
57,568 |
$5.82M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25,934 |
19,167 |
$2.49M |
| A0998 |
Ambulance response and treatment, no transport |
6,552 |
4,892 |
$336K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
503 |
455 |
$78K |
| A0433 |
Advanced life support, level 2 (als 2) |
30 |
26 |
$8K |
| T2005 |
Non-emergency transportation; stretcher van |
29 |
24 |
$968.45 |