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#6104 of 11K

A0392

HCPCS Procedure Code

HCPCS code A0392 is the #6,104 most-billed Medicaid procedure code, with $95K in payments across 24K claims from 2018–2024. The national median cost per claim is $1.50. Costs vary widely — the 90th percentile is $27.10 per claim, 18.1× the median.

Total Paid

$95K

0.00% of all spending

Total Claims

24K

Providers

27

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for A0392? Based on 15 providers billing this code nationally.

Median

$1.50

Average

$12.26

Std Dev

$29.09

Max

$112.23

Percentile Distribution (Cost per Claim)

p10
$0.06
p25
$0.49
Median
$1.50
p75
$5.61
p90
$27.10
p95
$56.73
p99
$101.13

50% of providers bill between $0.49 and $5.61 per claim for this code.

90% bill between $0.06 and $27.10.

Top 1% bill above $101.13.

About This Procedure

HCPCS code A0392 was billed by 27 providers across 24K claims, totaling $95K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.50

Providers Billing

15

National Spending

$95K

Avg/Median Ratio

8.17×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A0392

#ProviderTotal Paid
11619911971$74K
21992773790$6K
31154438885$4K
41689653610$3K
51548371362$2K
61518071927$2K
71124194352$2K
81346222502$2K
91295716900$240
101043746902$132
111770533176$27
121366492910$27
131124177191$10
141265570295$8
151609208008$7
161073814299$0
171497750434$0
181710072897$0
191508284043$0
201619071941$0

Showing top 20 of 27 providers billing this code