Click here -> to go to the Table of Contents
Florida State Prevailing Fee Screens
Some providers are on Method 2, some on Method 4
(click here for HCFA billing methods 1 thru 4)

Nationwide, each January 1st,   fee screen IICs for each HCPCS code are increased by the previous year CPI-U (Consumer Price Index - Urban), and this ranges from 1-3 percent unless there is either a freeze or some other congressional reduction.  What this means to you is that each year your Medicare allowed amount for each charge (A0330 base rate, A0390 mileage, e.g.) you bill will be increased by the IIC percent increase.  Your Medicare allowed amounts will be the lesser of your IICs or what you actually bill.  For the fee screen years below, the percent increases are listed.


1999      1998      1997     1996      1995     1994

 

Florida 1999
(1.1% increase above 1998)

Code

LOC 1

LOC 2

LOC 3

LOC 4

 Description

A0320

121.49

170.36

170.51

157.60

BLS BASE NE, SUP INCL, MILES BILLED SEPAR

A0322

128.68

171.19

177.98

158.89

BLS BASE EMER, SUP INCL, MILES BILLED SEPAR

A0324

250.92

293.21

299.56

292.95

ALS BASE NE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR

A0326

259.52

298.54

299.56

292.95

ALS BASE NE   SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR

A0328

259.52

298.54

299.56

292.95

ALS BASE EMER NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR

A0330

259.52

298.54

299.56

292.95

ALS BASE EMER SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR

A0380

4.12

4.72

6.12

6.86

BLS MILEAGE PER MILE

A0390

4.12

4.72

6.12

6.86

ALS MILEAGE PER MILE

A0420

15.88

15.88

15.88

15.88

 Wait Time per unit (1/2 hour)-1st unit does not count--Medicare reduces billed units by 1

LOC=Locality
Note: The prevailing fees (IICs) listed above for these procedures represent the maximum allowances for the indicated procedures.  However, the actual allowance for a particular provider may be lower based on their individual customaries or the billed amounts.

 

 

Florida 1998
(1.3% increase above 1997)

 

 

Florida 1997
(2.8% increase above 1996)

Code

LOC 1

LOC 2

LOC 3

LOC 4

A0320

118.63

166.35

166.49

153.89

A0322

125.65

167.16

173.78

155.14

A0324

245.00

286.30

292.50

286.04

A0326

253.41

291.50

292.50

286.04

A0328

253.41

291.50

292.50

286.04

A0330

253.41

291.50

292.50

286.04

A0380

4.03

4.61

5.97

6.70

A0390

4.03

4.61

5.97

6.70

A0420

15.88

15.88

15.88

15.88

A0422

NC

NC

NC

NC

A0424

IC

IC

IC

IC

A0888

NC

NC

NC

NC

A0999

IC

IC

IC

IC

LOC=Locality IC = Individual Consideration NC = Non-covered
Maximum Reimbursements (IICs)

 




 

Florida 1996
(3.0% increase above 1995)

 

 

 

 

Florida 1995

Code

LOCALITY 1

LOCALITY 2

LOCALITY 3

LOCALITY 4

A0010

113.97

152.39

161.09

142.53

A0020

3.81

4.35

5.92

6.33

A0060

15.00

15.00

15.00

15.00

A0070

20.50

29.23

23.86

21.12

A0150

108.84

152.39

153.85

142.53

A0215

NC

NC

NC

NC

A0220

223.14

256.02

256.02

250.00

A0221

3.81

4.35

5.92

6.33

A0320

112.04

157.11

157.24

145.34

A0322

118.67

157.87

164.13

146.51

A0324

239.33

275.30

276.24

270.15

A0326

239.33

275.30

276.24

270.15

A0328

239.33

275.30

276.24

270.15

A0330

239.33

275.30

276.24

270.15

A0380

3.81

4.35

5.92

6.33

A0390

3.81

4.35

5.92

6.33

A0420

15.00

15.00

15.00

15.00

A0422

20.50

29.23

23.86

21.12

A0424

IC

IC

IC

IC

A0888

NC

NC

NC

NC

A0999

IC

IC

IC

IC

 

Florida 1994

Code

50th%

75th%

IIC

A0010

149.35

180.00

139.02

A0020

5.25

5.38

4.98

A0070

23.70

24.25

23.25

A0150

152.50

158.19

136.00

A0215

NC

NC

NC

A0220

240.85

272.50

241.76

A0221

5.13

5.55

4.98

A0222

150.00

170.00

120.94

A0223

NC

NC

NC