A0398
HCPCS Procedure Code
HCPCS code A0398 is the #976 most-billed Medicaid procedure code, with $52.1M in payments across 2.7M claims from 2018–2024. The national median cost per claim is $13.41. Costs vary widely — the 90th percentile is $120.11 per claim, 9.0× the median.
Total Paid
$52.1M
0.00% of all spending
Total Claims
2.7M
Providers
612
Avg Cost/Claim
$19
National Cost Distribution
How much do providers bill per claim for A0398? Based on 516 providers billing this code nationally.
Median
$13.41
Average
$31.12
Std Dev
$54.60
Max
$335.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.31 and $17.49 per claim for this code.
90% bill between $0.45 and $120.11.
Top 1% bill above $193.88.
About This Procedure
HCPCS code A0398 was billed by 612 providers across 2.7M claims, totaling $52.1M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.41
Providers Billing
516
National Spending
$52.1M
Avg/Median Ratio
2.32×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A0398
| # | Provider | Total Paid |
|---|---|---|
| 1 | Acadian Ambulance Service Inc. Lafayette, LA · Ambulance Air Transport | $8.5M |
| 2 | American Medical Response Of Maricopa, Llc Mesa, AZ · Ambulance, Land Transport | $2.9M |
| 3 | City Of Phoenix Arizona Phoenix, AZ · Emergency Medical Technician Paramedic | $2.5M |
| 4 | 1356326615 | $1.9M |
| 5 | 1376542415 | $1.3M |
| 6 | Maricopa Ambulance, Llc Phoenix, AZ · Ambulance, Land Transport | $1.2M |
| 7 | 1992757025 | $1.1M |
| 8 | 1538116652 | $1.0M |
| 9 | 1982235313 | $896K |
| 10 | 1780629139 | $848K |
| 11 | 1043399108 | $831K |
| 12 | 1902803182 | $818K |
| 13 | 1245860329 | $726K |
| 14 | 1184621369 | $709K |
| 15 | 1750676870 | $687K |
| 16 | 1760408926 | $617K |
| 17 | 1104481092 | $615K |
| 18 | 1134125685 | $608K |
| 19 | 1497753396 | $594K |
| 20 | 1043214372 | $576K |
Showing top 20 of 612 providers billing this code