0034A
HCPCS Procedure Code
HCPCS code 0034A is the #5,105 most-billed Medicaid procedure code, with $289K in payments across 11K claims from 2018–2024. The national median cost per claim is $35.00.
Total Paid
$289K
0.00% of all spending
Total Claims
11K
Providers
138
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 0034A? Based on 120 providers billing this code nationally.
Median
$35.00
Average
$40.80
Std Dev
$67.42
Max
$565.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.49 and $40.16 per claim for this code.
90% bill between $8.87 and $45.04.
Top 1% bill above $435.92.
About This Procedure
HCPCS code 0034A was billed by 138 providers across 11K claims, totaling $289K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.00
Providers Billing
120
National Spending
$289K
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0034A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $97K |
| 2 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $21K |
| 3 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $18K |
| 4 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $9K |
| 5 | United Health Centers Of The San Joaquin Valley Reedley, CA · Case Manager/Care Coordinator | $8K |
| 6 | 1184606634 | $6K |
| 7 | The Griffin Hospital Derby, CT · Clinic/Center, Emergency Care | $6K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $6K |
| 9 | 1265596548 | $5K |
| 10 | 1982784740 | $5K |
| 11 | 1477979722 | $4K |
| 12 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $4K |
| 13 | 1588901045 | $4K |
| 14 | Gregory Huhn Chicago, IL · Internal Medicine | $4K |
| 15 | 1518963230 | $4K |
| 16 | North East Medical Services San Francisco, CA · Case Manager/Care Coordinator | $3K |
| 17 | 1699232454 | $3K |
| 18 | City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator | $3K |
| 19 | Cdva Corp Villalba, PR · Health Maintenance Organization | $2K |
| 20 | 1639336803 | $2K |
Showing top 20 of 138 providers billing this code