A9274
External ambulatory insulin delivery system, disposable
External ambulatory insulin delivery system, disposable is the #436 most-billed Medicaid procedure code, with $230.0M in payments across 436K claims from 2018–2024. The national median cost per claim is $466.16. Costs vary widely — the 90th percentile is $948.60 per claim, 2.0× the median.
Total Paid
$230.0M
0.02% of all spending
Total Claims
436K
Providers
82
Avg Cost/Claim
$527
National Cost Distribution
How much do providers bill per claim for A9274? Based on 80 providers billing this code nationally.
Median
$466.16
Average
$571.50
Std Dev
$363.56
Max
$2,143.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $378.82 and $624.28 per claim for this code.
90% bill between $295.68 and $948.60.
Top 1% bill above $2,085.81.
About This Procedure
HCPCS code A9274 (External ambulatory insulin delivery system, disposable) was billed by 82 providers across 436K claims, totaling $230.0M in Medicaid payments from 2018–2024. This code was used for 384K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$466.16
Providers Billing
80
National Spending
$230.0M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A9274
| # | Provider | Total Paid |
|---|---|---|
| 1 | Benzer Co 1 Llc Byers, CO · Pharmacy Community/Retail Pharmacy | $22.3M |
| 2 | 1376797704 | $19.6M |
| 3 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $14.7M |
| 4 | 1013914027 | $14.2M |
| 5 | 1164537452 | $13.3M |
| 6 | Edwards Health Care Services Inc. Morehead City, NC · Durable Medical Equipment & Medical Supplies | $8.8M |
| 7 | 1720468812 | $8.7M |
| 8 | 1548237563 | $8.1M |
| 9 | 1366653545 | $7.8M |
| 10 | 1316903545 | $7.1M |
| 11 | 1770512501 | $6.8M |
| 12 | 1346254620 | $6.8M |
| 13 | 1033142948 | $6.5M |
| 14 | Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies | $6.2M |
| 15 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $4.2M |
| 16 | 1093711996 | $4.0M |
| 17 | 1437217288 | $4.0M |
| 18 | 1841558160 | $3.9M |
| 19 | 1285821264 | $3.8M |
| 20 | 1023438538 | $3.8M |
Showing top 20 of 82 providers billing this code