A0396
HCPCS Procedure Code
HCPCS code A0396 is the #6,913 most-billed Medicaid procedure code, with $37K in payments across 19K claims from 2018–2024. The national median cost per claim is $0.95. Costs vary widely — the 90th percentile is $9.63 per claim, 10.1× the median.
Total Paid
$37K
0.00% of all spending
Total Claims
19K
Providers
10
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for A0396? Based on 5 providers billing this code nationally.
Median
$0.95
Average
$3.48
Std Dev
$6.64
Max
$15.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.04 and $1.09 per claim for this code.
90% bill between $0.02 and $9.63.
Top 1% bill above $14.75.
About This Procedure
HCPCS code A0396 was billed by 10 providers across 19K claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.95
Providers Billing
5
National Spending
$37K
Avg/Median Ratio
3.66×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A0396
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487783361 | $32K |
| 2 | 1104922848 | $3K |
| 3 | 1750498440 | $1K |
| 4 | 1619071941 | $419 |
| 5 | 1235248089 | $8 |
| 6 | 1982733218 | $0 |
| 7 | 1982671202 | $0 |
| 8 | 1952588329 | $0 |
| 9 | 1922391226 | $0 |
| 10 | 1366492910 | $0 |
Showing top 10 of 10 providers billing this code