0091A
HCPCS Procedure Code
HCPCS code 0091A is the #8,046 most-billed Medicaid procedure code, with $7K in payments across 244 claims from 2018–2024. The national median cost per claim is $17.63. Costs vary widely — the 90th percentile is $70.96 per claim, 4.0× the median.
Total Paid
$7K
0.00% of all spending
Total Claims
244
Providers
7
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for 0091A? Based on 6 providers billing this code nationally.
Median
$17.63
Average
$30.45
Std Dev
$32.90
Max
$80.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.34 and $52.48 per claim for this code.
90% bill between $2.76 and $70.96.
Top 1% bill above $79.22.
About This Procedure
HCPCS code 0091A was billed by 7 providers across 244 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 230 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.63
Providers Billing
6
National Spending
$7K
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0091A
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Arizona Partnership For Immunization Phoenix, AZ · Local Education Agency (LEA) | $5K |
| 2 | 1487925665 | $865 |
| 3 | 1497107775 | $517 |
| 4 | 1376870253 | $336 |
| 5 | 1316075062 | $160 |
| 6 | State Of Indiana Auditor Of State Indianapolis, IN · Public Health or Welfare | $37 |
| 7 | Altamed Health Services Corp. Los Angeles, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $0 |
Showing top 7 of 7 providers billing this code