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#4906 of 11K

A9503

HCPCS Procedure Code

HCPCS code A9503 is the #4,906 most-billed Medicaid procedure code, with $358K in payments across 35K claims from 2018–2024. The national median cost per claim is $10.07. Costs vary widely — the 90th percentile is $28.28 per claim, 2.8× the median.

Total Paid

$358K

0.00% of all spending

Total Claims

35K

Providers

168

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for A9503? Based on 108 providers billing this code nationally.

Median

$10.07

Average

$19.50

Std Dev

$61.45

Max

$625.28

Percentile Distribution (Cost per Claim)

p10
$0.30
p25
$3.36
Median
$10.07
p75
$17.43
p90
$28.28
p95
$47.57
p99
$116.77

50% of providers bill between $3.36 and $17.43 per claim for this code.

90% bill between $0.30 and $28.28.

Top 1% bill above $116.77.

About This Procedure

HCPCS code A9503 was billed by 168 providers across 35K claims, totaling $358K in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.07

Providers Billing

108

National Spending

$358K

Avg/Median Ratio

1.94×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A9503

#ProviderTotal Paid
11558356493$86K
2University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$24K
3Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$24K
41396790499$20K
5City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$20K
6Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$16K
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$15K
8Trustees Of The University Of Pennsylvania

Philadelphia, PA · Community/Behavioral Health

$15K
9Arthur G James Cancer Hospital And Research Institute

Columbus, OH · Special Hospital

$13K
101710962204$13K
11Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$11K
121184680480$9K
131124079868$6K
141972004489$6K
15Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$5K
161134194038$5K
17Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$4K
181275630527$4K
19The Cooper Health System

Camden, NJ · General Acute Care Hospital

$4K
201306281126$4K

Showing top 20 of 168 providers billing this code