| Code | Description | Claims | Beneficiaries | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
68,534 |
48,374 |
$8.97M |
| A0425 |
Ground mileage, per statute mile |
123,446 |
91,147 |
$4.85M |
| A0434 |
Specialty care transport (sct) |
13,568 |
10,917 |
$3.40M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,014 |
6,864 |
$1.92M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,653 |
6,778 |
$1.46M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
2,714 |
2,016 |
$612K |
| A0130 |
Non-emergency transportation: wheelchair van |
24,194 |
18,251 |
$528K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
22,790 |
17,022 |
$387K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
17,210 |
13,193 |
$210K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
2,067 |
1,308 |
$12K |
| 93041 |
|
687 |
496 |
$100.16 |