A9562
HCPCS Procedure Code
HCPCS code A9562 is the #5,718 most-billed Medicaid procedure code, with $149K in payments across 992 claims from 2018–2024. The national median cost per claim is $86.02. Costs vary widely — the 90th percentile is $445.45 per claim, 5.2× the median.
Total Paid
$149K
0.00% of all spending
Total Claims
992
Providers
9
Avg Cost/Claim
$150
National Cost Distribution
How much do providers bill per claim for A9562? Based on 7 providers billing this code nationally.
Median
$86.02
Average
$198.05
Std Dev
$222.40
Max
$643.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $50.67 and $263.08 per claim for this code.
90% bill between $39.02 and $445.45.
Top 1% bill above $623.93.
About This Procedure
HCPCS code A9562 was billed by 9 providers across 992 claims, totaling $149K in Medicaid payments from 2018–2024. This code was used for 939 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.02
Providers Billing
7
National Spending
$149K
Avg/Median Ratio
2.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9562
| # | Provider | Total Paid |
|---|---|---|
| 1 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $68K |
| 2 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $39K |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $17K |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $15K |
| 5 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $4K |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $4K |
| 7 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $2K |
| 8 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $0 |
| 9 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $0 |
Showing top 9 of 9 providers billing this code