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#5247 of 11K

A5062

HCPCS Procedure Code

HCPCS code A5062 is the #5,247 most-billed Medicaid procedure code, with $251K in payments across 2K claims from 2018–2024. The national median cost per claim is $60.69. Costs vary widely — the 90th percentile is $128.77 per claim, 2.1× the median.

Total Paid

$251K

0.00% of all spending

Total Claims

2K

Providers

3

Avg Cost/Claim

$130

National Cost Distribution

How much do providers bill per claim for A5062? Based on 3 providers billing this code nationally.

Median

$60.69

Average

$82.81

Std Dev

$55.33

Max

$145.79

Percentile Distribution (Cost per Claim)

p10
$45.71
p25
$51.33
Median
$60.69
p75
$103.24
p90
$128.77
p95
$137.28
p99
$144.09

50% of providers bill between $51.33 and $103.24 per claim for this code.

90% bill between $45.71 and $128.77.

Top 1% bill above $144.09.

About This Procedure

HCPCS code A5062 was billed by 3 providers across 2K claims, totaling $251K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$60.69

Providers Billing

3

National Spending

$251K

Avg/Median Ratio

1.36×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.