A7035
HCPCS Procedure Code
HCPCS code A7035 is the #755 most-billed Medicaid procedure code, with $87.7M in payments across 6.1M claims from 2018–2024. The national median cost per claim is $13.01.
Total Paid
$87.7M
0.01% of all spending
Total Claims
6.1M
Providers
3K
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for A7035? Based on 3K providers billing this code nationally.
Median
$13.01
Average
$13.68
Std Dev
$6.79
Max
$66.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.10 and $17.96 per claim for this code.
90% bill between $5.53 and $22.15.
Top 1% bill above $32.41.
About This Procedure
HCPCS code A7035 was billed by 3K providers across 6.1M claims, totaling $87.7M in Medicaid payments from 2018–2024. This code was used for 5.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.01
Providers Billing
3K
National Spending
$87.7M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7035
| # | Provider | Total Paid |
|---|---|---|
| 1 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $2.1M |
| 2 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $1.5M |
| 3 | 1396851184 | $1.3M |
| 4 | 1962426122 | $784K |
| 5 | 1922046085 | $687K |
| 6 | 1801129135 | $686K |
| 7 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $667K |
| 8 | 1043276819 | $607K |
| 9 | 1972554939 | $596K |
| 10 | 1134122047 | $581K |
| 11 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $579K |
| 12 | 1164612040 | $548K |
| 13 | 1033142484 | $545K |
| 14 | Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $533K |
| 15 | 1689665911 | $503K |
| 16 | 1851328157 | $478K |
| 17 | 1134303902 | $471K |
| 18 | 1568465938 | $466K |
| 19 | Integra Partners Llc Troy, MI · Orthotic Fitter | $451K |
| 20 | 1831289826 | $449K |
Showing top 20 of 3K providers billing this code