| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
22,654 |
17,962 |
$2.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
9,238 |
8,214 |
$1.34M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
10,469 |
8,832 |
$1.31M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,405 |
2,029 |
$222K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
13 |
13 |
$1K |