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#4426 of 11K

0073A

HCPCS Procedure Code

HCPCS code 0073A is the #4,426 most-billed Medicaid procedure code, with $597K in payments across 16K claims from 2018–2024. The national median cost per claim is $40.00.

Total Paid

$597K

0.00% of all spending

Total Claims

16K

Providers

298

Avg Cost/Claim

$38

National Cost Distribution

How much do providers bill per claim for 0073A? Based on 280 providers billing this code nationally.

Median

$40.00

Average

$44.63

Std Dev

$52.19

Max

$586.67

Percentile Distribution (Cost per Claim)

p10
$24.99
p25
$35.87
Median
$40.00
p75
$41.67
p90
$52.74
p95
$67.09
p99
$261.36

50% of providers bill between $35.87 and $41.67 per claim for this code.

90% bill between $24.99 and $52.74.

Top 1% bill above $261.36.

About This Procedure

HCPCS code 0073A was billed by 298 providers across 16K claims, totaling $597K in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.00

Providers Billing

280

National Spending

$597K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0073A

#ProviderTotal Paid
1Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$37K
2Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$25K
3The Arizona Partnership For Immunization

Phoenix, AZ · Local Education Agency (LEA)

$16K
4Alamo Navajo School Board, Inc.

Alamo, NM · Clinic/Center, Primary Care

$16K
51386911691$15K
61619966892$11K
7Permanente Medical Group Inc

Vallejo, CA · Anesthesiology

$11K
8Federico Herrera

Chicago, IL · Pediatrics

$10K
9Permanente Medical Group Inc

Santa Clara, CA · Anesthesiology

$10K
10Pine Ridge Indian Health Service Hospital

Pine Ridge, SD · General Acute Care Hospital

$8K
11University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$8K
121528039120$8K
131346314564$8K
141063786812$8K
151689830077$7K
161205996048$7K
171518952654$7K
181326066796$7K
19Richard Bone

Chicago, IL · Internal Medicine, Gastroenterology

$6K
201639252604$6K

Showing top 20 of 298 providers billing this code