An air force plane landed on Fiery Cross reef in the Spratlys archipelago yesterday to evacuate sick workers, the official People's Liberation Army Daily said.
China claims nearly all of the strategically vital sea, even waters close to its Southeast Asian neighbours, and has created artificial islands in an effort to assert its claims.
It has significantly expanded Fiery Cross, which is also claimed by Vietnam and the Philippines, drawing international criticism.
Beijing in January carried out several of what it called civilian flights to Fiery Cross, enraging Hanoi.
This weekend's flight came just days after US Defense Secretary Ashton Carter visited a warship close to flashpoint waters, after announcing joint naval patrols with the Philippines.
On the day of Carter's trip, Beijing said that one of its top military officials had visited a South China Sea island.
Fan Changlong, vice-chairman of the Central Military Commission, observed building work, the defence ministry said, without giving a precise date or location for the visit.
Beijing denies the accusations and says US patrols have ramped up tensions.
As well as China, the Philippines, Vietnam, Malaysia, Brunei and Taiwan have overlapping claims to parts of the sea, which are home to some of the world's most important shipping lanes and believed to sit atop vast oil reserves.
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