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#3561 of 11K

0082A

HCPCS Procedure Code

HCPCS code 0082A is the #3,561 most-billed Medicaid procedure code, with $1.5M in payments across 34K claims from 2018–2024. The national median cost per claim is $39.88.

Total Paid

$1.5M

0.00% of all spending

Total Claims

34K

Providers

429

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for 0082A? Based on 415 providers billing this code nationally.

Median

$39.88

Average

$47.98

Std Dev

$66.45

Max

$640.00

Percentile Distribution (Cost per Claim)

p10
$24.97
p25
$34.47
Median
$39.88
p75
$43.06
p90
$65.56
p95
$67.00
p99
$507.58

50% of providers bill between $34.47 and $43.06 per claim for this code.

90% bill between $24.97 and $65.56.

Top 1% bill above $507.58.

About This Procedure

HCPCS code 0082A was billed by 429 providers across 34K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$39.88

Providers Billing

415

National Spending

$1.5M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0082A

#ProviderTotal Paid
1Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$95K
2Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$52K
3Pine Ridge Indian Health Service Hospital

Pine Ridge, SD · General Acute Care Hospital

$45K
4Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$38K
5Zuni Indian Hospital

Zuni, NM · General Acute Care Hospital

$31K
6Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$29K
7County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$27K
8New York City Health And Hospitals Corporation

Elmhurst, NY · Internal Medicine

$26K
9Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$24K
10New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$24K
11The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$22K
121417082215$20K
131598139883$20K
14The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$19K
151255875746$17K
16Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$17K
17Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$17K
181457470858$16K
19Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$15K
20Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$15K

Showing top 20 of 429 providers billing this code