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#4190 of 11K

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)

p10
$38.78
p25
$69.90
Median
$113.14
p75
$195.28
p90
$256.32
p95
$277.54
p99
$294.51

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

#ProviderTotal Paid
11336376300$373K
21386672988$169K
3Integra Partners Llc

Troy, MI · Orthotic Fitter

$103K
41740242262$99K
51396923801$16K
61780711358$6K
71932138872$4K
81023011756$0

Showing top 8 of 8 providers billing this code