A9516
HCPCS Procedure Code
HCPCS code A9516 is the #7,592 most-billed Medicaid procedure code, with $14K in payments across 89 claims from 2018–2024. The national median cost per claim is $130.77.
Total Paid
$14K
0.00% of all spending
Total Claims
89
Providers
2
Avg Cost/Claim
$154
National Cost Distribution
How much do providers bill per claim for A9516? Based on 2 providers billing this code nationally.
Median
$130.77
Average
$130.77
Std Dev
$89.86
Max
$194.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $99.00 and $162.53 per claim for this code.
90% bill between $79.93 and $181.60.
Top 1% bill above $193.03.
About This Procedure
HCPCS code A9516 was billed by 2 providers across 89 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 88 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$130.77
Providers Billing
2
National Spending
$14K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.