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#976 of 11K

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)

p10
$0.45
p25
$5.31
Median
$13.41
p75
$17.49
p90
$120.11
p95
$177.36
p99
$193.88

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

#ProviderTotal Paid
1Acadian Ambulance Service Inc.

Lafayette, LA · Ambulance Air Transport

$8.5M
2American Medical Response Of Maricopa, Llc

Mesa, AZ · Ambulance, Land Transport

$2.9M
3City Of Phoenix Arizona

Phoenix, AZ · Emergency Medical Technician Paramedic

$2.5M
41356326615$1.9M
51376542415$1.3M
6Maricopa Ambulance, Llc

Phoenix, AZ · Ambulance, Land Transport

$1.2M
71992757025$1.1M
81538116652$1.0M
91982235313$896K
101780629139$848K
111043399108$831K
121902803182$818K
131245860329$726K
141184621369$709K
151750676870$687K
161760408926$617K
171104481092$615K
181134125685$608K
191497753396$594K
201043214372$576K

Showing top 20 of 612 providers billing this code