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#2337 of 11K

A7003

Administration set for nebulizer, with small volume

Administration set for nebulizer, with small volume is the #2,337 most-billed Medicaid procedure code, with $6.6M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $1.48. Costs vary widely — the 90th percentile is $3.34 per claim, 2.3× the median.

Total Paid

$6.6M

0.00% of all spending

Total Claims

2.6M

Providers

2K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for A7003? Based on 2K providers billing this code nationally.

Median

$1.48

Average

$1.99

Std Dev

$3.27

Max

$73.48

Percentile Distribution (Cost per Claim)

p10
$0.45
p25
$0.87
Median
$1.48
p75
$2.27
p90
$3.34
p95
$4.05
p99
$13.06

50% of providers bill between $0.87 and $2.27 per claim for this code.

90% bill between $0.45 and $3.34.

Top 1% bill above $13.06.

About This Procedure

HCPCS code A7003 (Administration set for nebulizer, with small volume) was billed by 2K providers across 2.6M claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.48

Providers Billing

2K

National Spending

$6.6M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7003

#ProviderTotal Paid
11134120462$850K
21770581498$267K
3Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$153K
41730221599$137K
51376620815$126K
61114923075$109K
71861480048$108K
8Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$101K
91902137409$99K
101588976815$80K
111154345601$79K
121801866173$79K
131477748119$71K
141083615991$70K
151538128293$68K
161881623627$65K
171588959084$61K
181619988284$59K
19Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$55K
201093761611$51K

Showing top 20 of 2K providers billing this code