A5126
HCPCS Procedure Code
HCPCS code A5126 is the #3,822 most-billed Medicaid procedure code, with $1.1M in payments across 11K claims from 2018–2024. The national median cost per claim is $62.89.
Total Paid
$1.1M
0.00% of all spending
Total Claims
11K
Providers
2
Avg Cost/Claim
$102
National Cost Distribution
How much do providers bill per claim for A5126? Based on 2 providers billing this code nationally.
Median
$62.89
Average
$62.89
Std Dev
$56.56
Max
$102.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.89 and $82.88 per claim for this code.
90% bill between $30.89 and $94.88.
Top 1% bill above $102.08.
About This Procedure
HCPCS code A5126 was billed by 2 providers across 11K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.89
Providers Billing
2
National Spending
$1.1M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.