| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
9,982 |
8,071 |
$3.11M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
8,024 |
6,881 |
$2.77M |
| A0425 |
Ground mileage, per statute mile |
20,123 |
15,657 |
$1.02M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,628 |
1,366 |
$243K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
629 |
579 |
$132K |
| A0434 |
Specialty care transport (sct) |
74 |
53 |
$18K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
935 |
794 |
$11K |