| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15,820 |
13,856 |
$2.02M |
| A0425 |
Ground mileage, per statute mile |
32,214 |
25,770 |
$1.57M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
9,564 |
6,746 |
$1.15M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,325 |
5,116 |
$1.08M |
| A0998 |
Ambulance response and treatment, no transport |
3,461 |
3,188 |
$510K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,269 |
1,050 |
$256K |
| A0434 |
Specialty care transport (sct) |
31 |
25 |
$4K |