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#589 of 11K

A7034

HCPCS Procedure Code

HCPCS code A7034 is the #589 most-billed Medicaid procedure code, with $137.8M in payments across 3.5M claims from 2018–2024. The national median cost per claim is $35.90.

Total Paid

$137.8M

0.01% of all spending

Total Claims

3.5M

Providers

2K

Avg Cost/Claim

$40

National Cost Distribution

How much do providers bill per claim for A7034? Based on 2K providers billing this code nationally.

Median

$35.90

Average

$38.31

Std Dev

$19.88

Max

$150.40

Percentile Distribution (Cost per Claim)

p10
$15.24
p25
$24.47
Median
$35.90
p75
$50.38
p90
$64.43
p95
$73.78
p99
$91.06

50% of providers bill between $24.47 and $50.38 per claim for this code.

90% bill between $15.24 and $64.43.

Top 1% bill above $91.06.

About This Procedure

HCPCS code A7034 was billed by 2K providers across 3.5M claims, totaling $137.8M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.90

Providers Billing

2K

National Spending

$137.8M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7034

#ProviderTotal Paid
1Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$4.6M
21396851184$2.7M
3Medcare Equipment Company, Llc

Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$2.3M
41962426122$1.5M
51134122047$1.3M
61043276819$1.2M
71922046085$1.2M
8Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$1.2M
91134303902$1.1M
101831289826$1.1M
11Super Care Inc

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

$1.1M
121710057500$1.0M
131801129135$991K
141568465938$920K
151659361947$878K
161689665911$877K
171548336423$840K
181851328157$820K
191730182023$814K
201033142484$811K

Showing top 20 of 2K providers billing this code