| Code | Description | Claims | Bene. Records | Total Paid |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,834 |
3,193 |
$153K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,588 |
1,263 |
$152K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
1,062 |
821 |
$64K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
330 |
250 |
$23K |
| A0425 |
Ground mileage, per statute mile |
8,997 |
6,177 |
$22K |
| A0434 |
Specialty care transport (sct) |
40 |
27 |
$5K |