| Code | Description | Claims | Beneficiaries | Total Paid |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,627 |
6,317 |
$1.25M |
| A0425 |
Ground mileage, per statute mile |
17,898 |
13,457 |
$1.15M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,812 |
4,254 |
$911K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,485 |
3,011 |
$151K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
124 |
118 |
$12K |