| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
17,164 |
6,088 |
$652K |
| A0425 |
Ground mileage, per statute mile |
13,392 |
5,690 |
$94K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,206 |
943 |
$81K |
| A0380 |
Bls mileage (per mile) |
5,966 |
2,081 |
$70K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
670 |
540 |
$41K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
764 |
544 |
$27K |
| A0434 |
Specialty care transport (sct) |
12 |
12 |
$500.95 |