| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
10,950 |
5,477 |
$1.69M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
5,888 |
2,119 |
$859K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,529 |
2,077 |
$500K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,746 |
1,506 |
$442K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
162 |
143 |
$25K |