A0420
HCPCS Procedure Code
HCPCS code A0420 is the #1,764 most-billed Medicaid procedure code, with $14.3M in payments across 375K claims from 2018–2024. The national median cost per claim is $27.30. Costs vary widely — the 90th percentile is $107.77 per claim, 3.9× the median.
Total Paid
$14.3M
0.00% of all spending
Total Claims
375K
Providers
136
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for A0420? Based on 127 providers billing this code nationally.
Median
$27.30
Average
$44.71
Std Dev
$61.48
Max
$480.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.18 and $40.01 per claim for this code.
90% bill between $9.62 and $107.77.
Top 1% bill above $317.63.
About This Procedure
HCPCS code A0420 was billed by 136 providers across 375K claims, totaling $14.3M in Medicaid payments from 2018–2024. This code was used for 200K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.30
Providers Billing
127
National Spending
$14.3M
Avg/Median Ratio
1.64×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A0420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730535824 | $3.9M |
| 2 | American Logistics Llc. St. George, UT · Transportation Broker | $1.9M |
| 3 | 1104922848 | $1.2M |
| 4 | American Medical Response Of Maricopa, Llc Mesa, AZ · Ambulance, Land Transport | $890K |
| 5 | 1003855883 | $523K |
| 6 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $481K |
| 7 | 1871597898 | $440K |
| 8 | 1013451228 | $365K |
| 9 | 1912907262 | $331K |
| 10 | 1033343389 | $231K |
| 11 | 1750366068 | $228K |
| 12 | 1467725911 | $227K |
| 13 | 1902025398 | $219K |
| 14 | 1801854468 | $198K |
| 15 | 1376508366 | $182K |
| 16 | 1871527887 | $178K |
| 17 | 1861929499 | $130K |
| 18 | 1639661127 | $124K |
| 19 | 1487128328 | $114K |
| 20 | 1881149151 | $114K |
Showing top 20 of 136 providers billing this code