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#1940 of 11K

A0394

HCPCS Procedure Code

HCPCS code A0394 is the #1,940 most-billed Medicaid procedure code, with $11.2M in payments across 480K claims from 2018–2024. The national median cost per claim is $18.67. Costs vary widely — the 90th percentile is $45.66 per claim, 2.4× the median.

Total Paid

$11.2M

0.00% of all spending

Total Claims

480K

Providers

225

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for A0394? Based on 156 providers billing this code nationally.

Median

$18.67

Average

$23.51

Std Dev

$38.49

Max

$360.21

Percentile Distribution (Cost per Claim)

p10
$0.12
p25
$0.91
Median
$18.67
p75
$29.05
p90
$45.66
p95
$63.80
p99
$174.58

50% of providers bill between $0.91 and $29.05 per claim for this code.

90% bill between $0.12 and $45.66.

Top 1% bill above $174.58.

About This Procedure

HCPCS code A0394 was billed by 225 providers across 480K claims, totaling $11.2M in Medicaid payments from 2018–2024. This code was used for 389K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.67

Providers Billing

156

National Spending

$11.2M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A0394

#ProviderTotal Paid
1Acadian Ambulance Service Inc.

Lafayette, LA · Ambulance Air Transport

$6.2M
21982671202$747K
31487783361$433K
41285630459$390K
51780629139$347K
61366541310$271K
71912932856$236K
81619071941$216K
91285692988$184K
101164449807$184K
111467491134$179K
121467459552$169K
131407906563$113K
141972640381$97K
151659402600$88K
161497253751$87K
171558300228$77K
181447308606$67K
191134186430$65K
201306870381$62K

Showing top 20 of 225 providers billing this code