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#436 of 11K

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)

p10
$295.68
p25
$378.82
Median
$466.16
p75
$624.28
p90
$948.60
p95
$1,096.79
p99
$2,085.81

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

#ProviderTotal Paid
1Benzer Co 1 Llc

Byers, CO · Pharmacy Community/Retail Pharmacy

$22.3M
21376797704$19.6M
3Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$14.7M
41013914027$14.2M
51164537452$13.3M
6Edwards Health Care Services Inc.

Morehead City, NC · Durable Medical Equipment & Medical Supplies

$8.8M
71720468812$8.7M
81548237563$8.1M
91366653545$7.8M
101316903545$7.1M
111770512501$6.8M
121346254620$6.8M
131033142948$6.5M
14Degc Enterprises (U.s.), Inc.

Clearwater, FL · Durable Medical Equipment & Medical Supplies

$6.2M
15J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$4.2M
161093711996$4.0M
171437217288$4.0M
181841558160$3.9M
191285821264$3.8M
201023438538$3.8M

Showing top 20 of 82 providers billing this code