| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
6,154 |
5,257 |
$1.63M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,496 |
1,407 |
$414K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,529 |
1,400 |
$211K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,072 |
939 |
$54K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
242 |
223 |
$21K |
| A0433 |
Advanced life support, level 2 (als 2) |
14 |
12 |
$3K |