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#2382 of 11K

0134A

HCPCS Procedure Code

HCPCS code 0134A is the #2,382 most-billed Medicaid procedure code, with $6.2M in payments across 182K claims from 2018–2024. The national median cost per claim is $33.54.

Total Paid

$6.2M

0.00% of all spending

Total Claims

182K

Providers

2K

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 0134A? Based on 1K providers billing this code nationally.

Median

$33.54

Average

$38.74

Std Dev

$56.57

Max

$650.39

Percentile Distribution (Cost per Claim)

p10
$7.78
p25
$20.28
Median
$33.54
p75
$40.00
p90
$59.57
p95
$67.00
p99
$349.38

50% of providers bill between $20.28 and $40.00 per claim for this code.

90% bill between $7.78 and $59.57.

Top 1% bill above $349.38.

About This Procedure

HCPCS code 0134A was billed by 2K providers across 182K claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 170K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.54

Providers Billing

1K

National Spending

$6.2M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0134A

#ProviderTotal Paid
1Dhhs Phs Naihs Shiprock Hospital

Shiprock, NM · General Acute Care Hospital

$699K
2Medical Associates Of Ebnhc

East Boston, MA · Clinic/Center, Community Health

$229K
3Dhhs,phs,naihs, Gallup Indian Medical Center

Gallup, NM · General Acute Care Hospital

$191K
4Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$188K
5Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$107K
61952386153$100K
7Rosebud Indian Health Service

Rosebud, SD · General Acute Care Hospital

$91K
8Southern California Permanente Medical Group

Bellflower, CA · Health Maintenance Organization

$84K
9Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$81K
10County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$80K
11Southern California Permanente Medical Group

San Diego, CA · Health Maintenance Organization

$78K
12Dulce Health Center

Dulce, NM · Clinic/Center, Public Health, Federal

$74K
13Southern California Permanente Medical Group

Harbor City, CA · Health Maintenance Organization

$62K
14Southern California Permanente Medical Group

Panorama City, CA · Health Maintenance Organization

$61K
15Permanente Medical Group Inc

Richmond, CA · Internal Medicine

$61K
16Southern California Permanente Medical Group

Baldwin Park, CA · Health Maintenance Organization

$59K
171760439921$58K
181225179641$58K
19Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$57K
20Alamo Navajo School Board, Inc.

Alamo, NM · Clinic/Center, Primary Care

$55K

Showing top 20 of 2K providers billing this code