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#4380 of 11K

A7028

HCPCS Procedure Code

HCPCS code A7028 is the #4,380 most-billed Medicaid procedure code, with $622K in payments across 3K claims from 2018–2024. The national median cost per claim is $42.57. Costs vary widely — the 90th percentile is $144.83 per claim, 3.4× the median.

Total Paid

$622K

0.00% of all spending

Total Claims

3K

Providers

5

Avg Cost/Claim

$178

National Cost Distribution

How much do providers bill per claim for A7028? Based on 5 providers billing this code nationally.

Median

$42.57

Average

$67.02

Std Dev

$76.32

Max

$198.05

Percentile Distribution (Cost per Claim)

p10
$13.64
p25
$20.26
Median
$42.57
p75
$65.01
p90
$144.83
p95
$171.44
p99
$192.73

50% of providers bill between $20.26 and $65.01 per claim for this code.

90% bill between $13.64 and $144.83.

Top 1% bill above $192.73.

About This Procedure

HCPCS code A7028 was billed by 5 providers across 3K claims, totaling $622K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.57

Providers Billing

5

National Spending

$622K

Avg/Median Ratio

1.57×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A7028

#ProviderTotal Paid
11548336423$600K
21174686901$14K
31225146459$7K
41497737431$446
51912394909$434

Showing top 5 of 5 providers billing this code