A0225
HCPCS Procedure Code
HCPCS code A0225 is the #2,235 most-billed Medicaid procedure code, with $7.6M in payments across 18K claims from 2018–2024. The national median cost per claim is $182.63. Costs vary widely — the 90th percentile is $602.57 per claim, 3.3× the median.
Total Paid
$7.6M
0.00% of all spending
Total Claims
18K
Providers
41
Avg Cost/Claim
$410
National Cost Distribution
How much do providers bill per claim for A0225? Based on 37 providers billing this code nationally.
Median
$182.63
Average
$272.74
Std Dev
$197.43
Max
$880.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $148.19 and $300.00 per claim for this code.
90% bill between $109.29 and $602.57.
Top 1% bill above $797.66.
About This Procedure
HCPCS code A0225 was billed by 41 providers across 18K claims, totaling $7.6M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$182.63
Providers Billing
37
National Spending
$7.6M
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A0225
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326094020 | $3.9M |
| 2 | 1053475905 | $979K |
| 3 | 1144266024 | $368K |
| 4 | 1033107743 | $336K |
| 5 | 1508342643 | $330K |
| 6 | 1720046188 | $297K |
| 7 | 1760476659 | $257K |
| 8 | 1598767501 | $115K |
| 9 | 1306887260 | $108K |
| 10 | 1689621047 | $103K |
| 11 | University Of Rochester Rochester, NY · General Acute Care Hospital | $101K |
| 12 | 1508939943 | $100K |
| 13 | 1609823228 | $94K |
| 14 | 1306898960 | $49K |
| 15 | 1164449807 | $46K |
| 16 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $37K |
| 17 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $36K |
| 18 | 1376577247 | $32K |
| 19 | 1346203882 | $29K |
| 20 | 1902025398 | $27K |
Showing top 20 of 41 providers billing this code