A7005
HCPCS Procedure Code
HCPCS code A7005 is the #1,165 most-billed Medicaid procedure code, with $36.0M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $12.44.
Total Paid
$36.0M
0.00% of all spending
Total Claims
2.6M
Providers
2K
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for A7005? Based on 1K providers billing this code nationally.
Median
$12.44
Average
$12.89
Std Dev
$7.31
Max
$72.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.63 and $17.10 per claim for this code.
90% bill between $3.77 and $21.56.
Top 1% bill above $33.11.
About This Procedure
HCPCS code A7005 was billed by 2K providers across 2.6M claims, totaling $36.0M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.44
Providers Billing
1K
National Spending
$36.0M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7005
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871551903 | $2.8M |
| 2 | 1669415394 | $1.8M |
| 3 | 1003813064 | $1.6M |
| 4 | 1073574331 | $1.4M |
| 5 | 1053364695 | $1.4M |
| 6 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $1.2M |
| 7 | 1750608147 | $838K |
| 8 | 1609193192 | $824K |
| 9 | 1497707426 | $745K |
| 10 | 1114398054 | $640K |
| 11 | 1598898991 | $604K |
| 12 | 1760577159 | $598K |
| 13 | 1285611012 | $562K |
| 14 | 1639102072 | $524K |
| 15 | 1184960874 | $467K |
| 16 | 1154315232 | $410K |
| 17 | 1336197482 | $387K |
| 18 | 1033174289 | $350K |
| 19 | 1720008592 | $334K |
| 20 | 1689665911 | $318K |
Showing top 20 of 2K providers billing this code