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#6541 of 11K

A9554

HCPCS Procedure Code

HCPCS code A9554 is the #6,541 most-billed Medicaid procedure code, with $57K in payments across 238 claims from 2018–2024. The national median cost per claim is $110.80. Costs vary widely — the 90th percentile is $427.17 per claim, 3.9× the median.

Total Paid

$57K

0.00% of all spending

Total Claims

238

Providers

3

Avg Cost/Claim

$240

National Cost Distribution

How much do providers bill per claim for A9554? Based on 3 providers billing this code nationally.

Median

$110.80

Average

$216.41

Std Dev

$254.08

Max

$506.27

Percentile Distribution (Cost per Claim)

p10
$47.90
p25
$71.49
Median
$110.80
p75
$308.53
p90
$427.17
p95
$466.72
p99
$498.36

50% of providers bill between $71.49 and $308.53 per claim for this code.

90% bill between $47.90 and $427.17.

Top 1% bill above $498.36.

About This Procedure

HCPCS code A9554 was billed by 3 providers across 238 claims, totaling $57K in Medicaid payments from 2018–2024. This code was used for 224 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$110.80

Providers Billing

3

National Spending

$57K

Avg/Median Ratio

1.95×

Moderately skewed

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.