| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,858 |
4,548 |
$1.17M |
| A0425 |
Ground mileage, per statute mile |
16,201 |
10,598 |
$1.01M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,353 |
2,828 |
$844K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
6,207 |
3,953 |
$524K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
146 |
137 |
$27K |