| Code | Description | Total Paid |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
$7.30M |
| A0435 |
Fixed wing air mileage, per statute mile |
$6.07M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
$2.55M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
$2.54M |
| A0425 |
Ground mileage, per statute mile |
$2.29M |
| A0436 |
Rotary wing air mileage, per statute mile |
$2.21M |
| A0434 |
Specialty care transport (sct) |
$2.12M |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
$378K |
| A0398 |
Als routine disposable supplies |
$65K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
$40K |