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#5354 of 11K

0173A

HCPCS Procedure Code

HCPCS code 0173A is the #5,354 most-billed Medicaid procedure code, with $222K in payments across 7K claims from 2018–2024. The national median cost per claim is $37.72.

Total Paid

$222K

0.00% of all spending

Total Claims

7K

Providers

114

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 0173A? Based on 108 providers billing this code nationally.

Median

$37.72

Average

$46.43

Std Dev

$84.99

Max

$654.00

Percentile Distribution (Cost per Claim)

p10
$15.67
p25
$28.03
Median
$37.72
p75
$41.02
p90
$47.00
p95
$67.00
p99
$611.59

50% of providers bill between $28.03 and $41.02 per claim for this code.

90% bill between $15.67 and $47.00.

Top 1% bill above $611.59.

About This Procedure

HCPCS code 0173A was billed by 114 providers across 7K claims, totaling $222K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.72

Providers Billing

108

National Spending

$222K

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0173A

#ProviderTotal Paid
11598139883$14K
2Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$10K
3Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$8K
4Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$8K
5The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$8K
6Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$8K
71316994411$7K
8The Nemours Foundation

Wilmington, DE · Clinic/Center, Developmental Disabilities

$6K
91982243812$6K
101285106005$6K
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$6K
12County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$5K
13North East Medical Services

San Francisco, CA · Case Manager/Care Coordinator

$5K
141417004003$5K
151730139171$5K
161851611370$5K
17Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$4K
18The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$4K
19Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$4K
20Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$3K

Showing top 20 of 114 providers billing this code