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#3858 of 11K

A9505

HCPCS Procedure Code

HCPCS code A9505 is the #3,858 most-billed Medicaid procedure code, with $1.1M in payments across 35K claims from 2018–2024. The national median cost per claim is $27.75. Costs vary widely — the 90th percentile is $91.17 per claim, 3.3× the median.

Total Paid

$1.1M

0.00% of all spending

Total Claims

35K

Providers

59

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for A9505? Based on 54 providers billing this code nationally.

Median

$27.75

Average

$40.21

Std Dev

$42.41

Max

$207.59

Percentile Distribution (Cost per Claim)

p10
$5.96
p25
$8.30
Median
$27.75
p75
$56.29
p90
$91.17
p95
$130.08
p99
$174.78

50% of providers bill between $8.30 and $56.29 per claim for this code.

90% bill between $5.96 and $91.17.

Top 1% bill above $174.78.

About This Procedure

HCPCS code A9505 was billed by 59 providers across 35K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.75

Providers Billing

54

National Spending

$1.1M

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9505

#ProviderTotal Paid
11932261716$115K
21760626477$103K
31235192345$90K
41689752032$88K
51598707150$84K
61568529006$80K
7Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$67K
81144273558$57K
91407877137$48K
101376916932$42K
111962567628$29K
121740225838$23K
131801861190$22K
141538328299$17K
151992931299$14K
161891881827$14K
171447456231$13K
181659313153$11K
191659498004$11K
201346213881$10K

Showing top 20 of 59 providers billing this code