0072A
HCPCS Procedure Code
HCPCS code 0072A is the #1,271 most-billed Medicaid procedure code, with $29.8M in payments across 668K claims from 2018–2024. The national median cost per claim is $39.57.
Total Paid
$29.8M
0.00% of all spending
Total Claims
668K
Providers
5K
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for 0072A? Based on 5K providers billing this code nationally.
Median
$39.57
Average
$44.12
Std Dev
$50.83
Max
$873.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $35.16 and $42.09 per claim for this code.
90% bill between $24.16 and $54.36.
Top 1% bill above $177.30.
About This Procedure
HCPCS code 0072A was billed by 5K providers across 668K claims, totaling $29.8M in Medicaid payments from 2018–2024. This code was used for 625K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$39.57
Providers Billing
5K
National Spending
$29.8M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0072A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dhhs Phs Naihs Shiprock Hospital Shiprock, NM · General Acute Care Hospital | $643K |
| 2 | Pine Ridge Indian Health Service Hospital Pine Ridge, SD · General Acute Care Hospital | $574K |
| 3 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $472K |
| 4 | Permanente Medical Group Inc Stockton, CA · Anesthesiology | $351K |
| 5 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $338K |
| 6 | Zuni Indian Hospital Zuni, NM · General Acute Care Hospital | $317K |
| 7 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $295K |
| 8 | Phs Indian Hospital Red Lake, MN · General Acute Care Hospital | $293K |
| 9 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $238K |
| 10 | Dhhs Phs Naihs Crownpoint Hospital Crownpoint, NM · General Acute Care Hospital | $192K |
| 11 | Topcare Medical Group Inc Dallas, TX · Pediatrics | $180K |
| 12 | Tanana Chiefs Conference Fairbanks, AK · Clinic/Center Multi-Specialty | $176K |
| 13 | Permanente Medical Group Inc Richmond, CA · Internal Medicine | $165K |
| 14 | Pine Ridge Indian Health Service Hospital Kyle, SD · Clinic/Center | $154K |
| 15 | Santa Fe Indian Hospital Santa Fe, NM · General Acute Care Hospital | $153K |
| 16 | Federico Herrera Chicago, IL · Pediatrics | $132K |
| 17 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $131K |
| 18 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $130K |
| 19 | The Griffin Hospital Derby, CT · Clinic/Center, Emergency Care | $128K |
| 20 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $124K |
Showing top 20 of 5K providers billing this code