HS-F Sample HCPCS SHORT A0021 OUTSIDE STATE AMBULANCE SERV A0080 NONINTEREST ESCORT IN NON ER A0090 INTEREST ESCORT IN NON ER A0100 NONEMERGENCY TRANSPORT TAXI A0110 NONEMERGENCY TRANSPORT BUS A0120 NONER TRANSPORT MINI-BUS A0130 NONER TRANSPORT WHEELCH VAN A0140 NONEMERGENCY TRANSPORT AIR A0160 NONER TRANSPORT CASE WORKER A0170 TRANSPORT PARKING FEES/TOLLS ... A4248 CHLORHEXIDINE ANTISEPT A4250 URINE REAGENT STRIPS/TABLETS A4252 BLOOD KETONE TEST OR STRIP A4253 BLOOD GLUCOSE/REAGENT STRIPS A4255 GLUCOSE MONITOR PLATFORMS A4256 CALIBRATOR SOLUTION/CHIPS A4257 REPLACE LENSSHIELD CARTRIDGE A4258 LANCET DEVICE EACH A4259 LANCETS PER BOX A4261 CERVICAL CAP CONTRACEPTIVE A4262 TEMPORARY TEAR DUCT PLUG A4263 PERMANENT TEAR DUCT PLUG ....