A5122
HCPCS Procedure Code
HCPCS code A5122 is the #4,190 most-billed Medicaid procedure code, with $770K in payments across 12K claims from 2018–2024. The national median cost per claim is $113.14. Costs vary widely — the 90th percentile is $256.32 per claim, 2.3× the median.
Total Paid
$770K
0.00% of all spending
Total Claims
12K
Providers
8
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for A5122? Based on 7 providers billing this code nationally.
Median
$113.14
Average
$136.91
Std Dev
$99.83
Max
$298.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $69.90 and $195.28 per claim for this code.
90% bill between $38.78 and $256.32.
Top 1% bill above $294.51.
About This Procedure
HCPCS code A5122 was billed by 8 providers across 12K claims, totaling $770K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$113.14
Providers Billing
7
National Spending
$770K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5122
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336376300 | $373K |
| 2 | 1386672988 | $169K |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $103K |
| 4 | 1740242262 | $99K |
| 5 | 1396923801 | $16K |
| 6 | 1780711358 | $6K |
| 7 | 1932138872 | $4K |
| 8 | 1023011756 | $0 |
Showing top 8 of 8 providers billing this code