| ALS |
A0392 |
ALS defibrillation supplies |
| ALS |
A0394 |
ALS IV drug therapy supplies |
| ALS |
A0396 |
ALS esophageal intubation supplies |
| ALS |
A0398 |
ALS routine disposable supplies |
| Base rate |
A0021 |
Ambulance service, outside state per mile, transport (Medicaid only) |
| Base rate |
A0100 |
Non-emergency transportation; taxi |
| Base rate |
A0120 |
Non-emergency transportation: mini-bus, mountain area trasports, or other transportation systems |
| Base rate |
A0130 |
Non-emergency transportation: wheel-chair van |
| Base rate |
A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
| Base rate |
A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (ALS1) |
| Base rate |
A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (ALS1 - Emergency) |
| Base rate |
A0428 |
Ambulance service, basic life support, non-emergency transport (BLS) |
| Base rate |
A0429 |
Ambulance service, basic life support, emergency transport (BLS - Emergency) |
| Base rate |
A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
| Base rate |
A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
| Base rate |
A0432 |
Paramedic intercept |
| Base rate |
A0433 |
Advanced life support, level 2 (ALS 2) |
| Base rate |
A0434 |
Specialty care transport |
| Base rate |
A0998 |
Ambulance response and treatment, no transport |
| Base rate |
A0999 |
Unlisted ambulance service |
| Base rate |
S0207 |
Paramedic intercept, non-hospital-based ALS service (non-voluntary), non-transport |
| Base rate |
S0208 |
Paramedic intercept, hospital-based ALS service (non-voluntary), non-transport |
| Base rate |
T2001 |
Non-emergency transportation: patient attendant/escort [per trip] |
| Base rate |
T2003 |
Non-emergency transportation: encounter/trip |
| Base rate |
T2004 |
Non-emergency transport: commercial carrier, multi-pass |
| Base rate |
T2005 |
Non-emergency transportation: stretcher van |
| BLS Supplies |
A0382 |
BLS routine disposable supplies |
| BLS Supplies |
A0384 |
BLS specialized service disposable supplies: defibrillation |
| Mileage |
A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (indiv. or org.), with no vested interest |
| Mileage |
A0380 |
BLS mileage (per mile) |
| Mileage |
A0390 |
ALS mileage (per mile) |
| Mileage |
A0425 |
Ground mileage |
| Mileage |
A0435 |
Fixed wing air mileage |
| Mileage |
A0436 |
Rotary wing air mileage |
| Mileage |
S0209 |
Wheelchair van mileage |
| Mileage |
S0215 |
Non-emergency transportation: mileage, per mile |
| Mileage |
T2049 |
Non-emergency transportation: stretcher van, mileage, per mile |
| Mileage (non-covered) |
A0888 |
Non-covered ambulance mileage |
| Miscellaneous services |
A0170 |
Transportation ancillary: parking fees, tolls, other |
| Miscellaneous services |
A0420 |
Ambulance waiting 1/2 hour |
| Miscellaneous services |
A0424 |
Extra ambulance attendant |
| Miscellaneous services |
G2022 |
Transfer to Emergency attendant |
| Miscellaneous services |
J1610 |
Injection, glucagon hydrochloride, per 1 mg |
| Miscellaneous services |
J2310 |
Injection, naloxone HCl, per 1 mg |
| Miscellaneous services |
J3490 |
Unclassified drugs [For naloxone prefilled nasal spray] |
| Miscellaneous services |
T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, 1/2 hr |
| Miscellaneous services |
93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
| Miscellaneous services |
93041 |
Rhythm ECG, 1-3 leads; tracing only without interpretation and report |
| Oxygen |
A0422 |
Ambulance oxygen, life sustaining |
| Unlisted services |
A0999 |
Untitled ambulance services |