0094A
HCPCS Procedure Code
HCPCS code 0094A is the #6,488 most-billed Medicaid procedure code, with $61K in payments across 2K claims from 2018–2024. The national median cost per claim is $32.30.
Total Paid
$61K
0.00% of all spending
Total Claims
2K
Providers
55
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for 0094A? Based on 40 providers billing this code nationally.
Median
$32.30
Average
$31.89
Std Dev
$27.22
Max
$160.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.79 and $40.00 per claim for this code.
90% bill between $3.85 and $50.98.
Top 1% bill above $126.20.
About This Procedure
HCPCS code 0094A was billed by 55 providers across 2K claims, totaling $61K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.30
Providers Billing
40
National Spending
$61K
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0094A
| # | Provider | Total Paid |
|---|---|---|
| 1 | Cdva Corp Villalba, PR · Health Maintenance Organization | $24K |
| 2 | 1831133693 | $6K |
| 3 | 1487850665 | $5K |
| 4 | 1407481245 | $3K |
| 5 | 1821023714 | $3K |
| 6 | 1306843180 | $2K |
| 7 | 1326279852 | $2K |
| 8 | 1992788020 | $2K |
| 9 | 1538294483 | $1K |
| 10 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1K |
| 11 | 1174161160 | $1K |
| 12 | 1780689034 | $942 |
| 13 | 1780780486 | $807 |
| 14 | 1730169756 | $804 |
| 15 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $763 |
| 16 | 1467546218 | $627 |
| 17 | Arkansas Department Of Health Immunizations Little Rock, AR · Public Health or Welfare | $600 |
| 18 | 1104356484 | $563 |
| 19 | 1316167661 | $560 |
| 20 | 1396713665 | $560 |
Showing top 20 of 55 providers billing this code