| T2005 | Non-Emergency Ambulance | $500 |
| A0428 | BLS Non-Emergency | $500 |
| A0429 | BLS Emergency | $500 |
| A0426 | ALS Non-Emergency | $700 |
| A0427 | ALS Emergency | $700 |
| A0433 | ALS-2 Emergency | $750 |
| A0434 | SCT (Specialty Care Transport) | $850 |
| T2MIL | Mileage | $12/mile |
| A0425 | Mileage | $12/mile |
| Refusal (with eval/treatment) | $200 | |
| Lift Assist | $200 |