0173A
HCPCS Procedure Code
HCPCS code 0173A is the #5,354 most-billed Medicaid procedure code, with $222K in payments across 7K claims from 2018–2024. The national median cost per claim is $37.72.
Total Paid
$222K
0.00% of all spending
Total Claims
7K
Providers
114
Avg Cost/Claim
$34
National Cost Distribution
How much do providers bill per claim for 0173A? Based on 108 providers billing this code nationally.
Median
$37.72
Average
$46.43
Std Dev
$84.99
Max
$654.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.03 and $41.02 per claim for this code.
90% bill between $15.67 and $47.00.
Top 1% bill above $611.59.
About This Procedure
HCPCS code 0173A was billed by 114 providers across 7K claims, totaling $222K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.72
Providers Billing
108
National Spending
$222K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0173A
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598139883 | $14K |
| 2 | Dhhs,phs,naihs, Gallup Indian Medical Center Gallup, NM · General Acute Care Hospital | $10K |
| 3 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $8K |
| 4 | Rosebud Indian Health Service Rosebud, SD · General Acute Care Hospital | $8K |
| 5 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $8K |
| 6 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $8K |
| 7 | 1316994411 | $7K |
| 8 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $6K |
| 9 | 1982243812 | $6K |
| 10 | 1285106005 | $6K |
| 11 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $6K |
| 12 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $5K |
| 13 | North East Medical Services San Francisco, CA · Case Manager/Care Coordinator | $5K |
| 14 | 1417004003 | $5K |
| 15 | 1730139171 | $5K |
| 16 | 1851611370 | $5K |
| 17 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $4K |
| 18 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $4K |
| 19 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $4K |
| 20 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $3K |
Showing top 20 of 114 providers billing this code