Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2517 of 11K

A9280

HCPCS Procedure Code

HCPCS code A9280 is the #2,517 most-billed Medicaid procedure code, with $5.2M in payments across 136K claims from 2018–2024. The national median cost per claim is $36.98.

Total Paid

$5.2M

0.00% of all spending

Total Claims

136K

Providers

18

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for A9280? Based on 18 providers billing this code nationally.

Median

$36.98

Average

$32.19

Std Dev

$17.28

Max

$58.28

Percentile Distribution (Cost per Claim)

p10
$7.93
p25
$19.09
Median
$36.98
p75
$42.93
p90
$51.01
p95
$55.53
p99
$57.73

50% of providers bill between $19.09 and $42.93 per claim for this code.

90% bill between $7.93 and $51.01.

Top 1% bill above $57.73.

About This Procedure

HCPCS code A9280 was billed by 18 providers across 136K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 128K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.98

Providers Billing

18

National Spending

$5.2M

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9280

#ProviderTotal Paid
11609931583$2.3M
21225687783$1.3M
31912053687$559K
41275681553$410K
51215358361$149K
61891155909$139K
71760686547$135K
81962595413$86K
91861854382$56K
101033479910$16K
111902844293$14K
121699038836$11K
131932651395$7K
141386794428$4K
151538669163$3K
161447277264$3K
171023107281$2K
181790163905$2K

Showing top 18 of 18 providers billing this code