0052A
HCPCS Procedure Code
HCPCS code 0052A is the #3,069 most-billed Medicaid procedure code, with $2.6M in payments across 57K claims from 2018–2024. The national median cost per claim is $37.79.
Total Paid
$2.6M
0.00% of all spending
Total Claims
57K
Providers
541
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 0052A? Based on 518 providers billing this code nationally.
Median
$37.79
Average
$50.77
Std Dev
$86.52
Max
$640.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.98 and $41.55 per claim for this code.
90% bill between $21.00 and $57.42.
Top 1% bill above $610.47.
About This Procedure
HCPCS code 0052A was billed by 541 providers across 57K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.79
Providers Billing
518
National Spending
$2.6M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0052A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $134K |
| 2 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $127K |
| 3 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $95K |
| 4 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $84K |
| 5 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $82K |
| 6 | 1710037288 | $76K |
| 7 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $74K |
| 8 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $66K |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $52K |
| 10 | City Of Columbus Columbus, OH · Clinic/Center, Public Health, State or Local | $49K |
| 11 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $47K |
| 12 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $36K |
| 13 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $35K |
| 14 | Medical Associates Of Ebnhc East Boston, MA · Clinic/Center, Community Health | $29K |
| 15 | Aurora Medical Group, Inc. Milwaukee, WI · Internal Medicine | $29K |
| 16 | Great Plains Tribal Chairmen's Health Board Rapid City, SD · Clinic/Center, Urgent Care | $28K |
| 17 | Rochester General Hospital Rochester, NY · Dentist, General Practice | $26K |
| 18 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $26K |
| 19 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $26K |
| 20 | Children's Hospital Corporation Boston, MA · Clinic/Center | $25K |
Showing top 20 of 541 providers billing this code