| Code | Description | Claims | Beneficiaries | Total Paid |
| A0425 |
Ground mileage, per statute mile |
6,442 |
3,627 |
$188K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,918 |
1,602 |
$154K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
383 |
355 |
$43K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
445 |
423 |
$42K |
| A0433 |
Advanced life support, level 2 (als 2) |
16 |
16 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
45 |
41 |
$2K |