0071A
HCPCS Procedure Code
HCPCS code 0071A is the #1,201 most-billed Medicaid procedure code, with $33.6M in payments across 809K claims from 2018–2024. The national median cost per claim is $38.71.
Total Paid
$33.6M
0.00% of all spending
Total Claims
809K
Providers
6K
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for 0071A? Based on 5K providers billing this code nationally.
Median
$38.71
Average
$41.93
Std Dev
$46.47
Max
$876.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.09 and $41.54 per claim for this code.
90% bill between $21.28 and $50.75.
Top 1% bill above $154.75.
About This Procedure
HCPCS code 0071A was billed by 6K providers across 809K claims, totaling $33.6M in Medicaid payments from 2018–2024. This code was used for 737K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.71
Providers Billing
5K
National Spending
$33.6M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0071A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $741K |
| 2 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $654K |
| 3 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $443K |
| 4 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $361K |
| 5 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $345K |
| 6 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $320K |
| 7 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $319K |
| 8 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $286K |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $275K |
| 10 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $235K |
| 11 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $223K |
| 12 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $195K |
| 13 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $189K |
| 14 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $167K |
| 15 | The Griffin Hospital Derby, CT · Clinic/Center, Emergency Care | $163K |
| 16 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $160K |
| 17 | Santa Fe Indian Hospital Santa Fe, NM · General Acute Care Hospital | $153K |
| 18 | Mississippi Band Of Choctaw Indians Choctaw, MS · General Acute Care Hospital | $147K |
| 19 | Richard Bone Chicago, IL · Internal Medicine, Gastroenterology | $134K |
| 20 | The Fort Defiance Indian Hospital Board, Incorporation Fort Defiance, AZ · General Acute Care Hospital | $132K |
Showing top 20 of 6K providers billing this code