| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
9,803 |
6,314 |
$448K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,891 |
3,723 |
$334K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,178 |
1,778 |
$135K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,187 |
1,251 |
$105K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
46 |
42 |
$3K |