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#5105 of 11K

0034A

HCPCS Procedure Code

HCPCS code 0034A is the #5,105 most-billed Medicaid procedure code, with $289K in payments across 11K claims from 2018–2024. The national median cost per claim is $35.00.

Total Paid

$289K

0.00% of all spending

Total Claims

11K

Providers

138

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 0034A? Based on 120 providers billing this code nationally.

Median

$35.00

Average

$40.80

Std Dev

$67.42

Max

$565.15

Percentile Distribution (Cost per Claim)

p10
$8.87
p25
$23.49
Median
$35.00
p75
$40.16
p90
$45.04
p95
$65.73
p99
$435.92

50% of providers bill between $23.49 and $40.16 per claim for this code.

90% bill between $8.87 and $45.04.

Top 1% bill above $435.92.

About This Procedure

HCPCS code 0034A was billed by 138 providers across 11K claims, totaling $289K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.00

Providers Billing

120

National Spending

$289K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0034A

#ProviderTotal Paid
1Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$97K
2State Of Indiana Auditor Of State

Indianapolis, IN · Public Health or Welfare

$21K
3County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$18K
4Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$9K
5United Health Centers Of The San Joaquin Valley

Reedley, CA · Case Manager/Care Coordinator

$8K
61184606634$6K
7The Griffin Hospital

Derby, CT · Clinic/Center, Emergency Care

$6K
8Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$6K
91265596548$5K
101982784740$5K
111477979722$4K
12Kaiser Foundation Health Plan Of The Northwest

Portland, OR · General Practice

$4K
131588901045$4K
14Gregory Huhn

Chicago, IL · Internal Medicine

$4K
151518963230$4K
16North East Medical Services

San Francisco, CA · Case Manager/Care Coordinator

$3K
171699232454$3K
18City & County Of San Francisco

San Francisco, CA · Case Manager/Care Coordinator

$3K
19Cdva Corp

Villalba, PR · Health Maintenance Organization

$2K
201639336803$2K

Showing top 20 of 138 providers billing this code