A0422
HCPCS Procedure Code
HCPCS code A0422 is the #1,399 most-billed Medicaid procedure code, with $24.6M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $9.63.
Total Paid
$24.6M
0.00% of all spending
Total Claims
1.8M
Providers
821
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for A0422? Based on 750 providers billing this code nationally.
Median
$9.63
Average
$12.50
Std Dev
$19.68
Max
$321.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.69 and $12.24 per claim for this code.
90% bill between $2.53 and $16.19.
Top 1% bill above $104.50.
About This Procedure
HCPCS code A0422 was billed by 821 providers across 1.8M claims, totaling $24.6M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.63
Providers Billing
750
National Spending
$24.6M
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A0422
| # | Provider | Total Paid |
|---|---|---|
| 1 | Acadian Ambulance Service Inc. Lafayette, LA · Ambulance Air Transport | $4.4M |
| 2 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $2.5M |
| 3 | City Of Chicago Chicago, IL · Ambulance | $1.2M |
| 4 | 1336107838 | $746K |
| 5 | 1851343537 | $387K |
| 6 | 1518075449 | $384K |
| 7 | 1215064506 | $378K |
| 8 | 1285630459 | $373K |
| 9 | 1760408926 | $350K |
| 10 | Falck Mobile Health Corp Orange, CA · Ambulance, Land Transport | $336K |
| 11 | 1598767501 | $325K |
| 12 | 1164449807 | $320K |
| 13 | American Medical Response Of Maricopa, Llc Mesa, AZ · Ambulance, Land Transport | $282K |
| 14 | 1366541310 | $282K |
| 15 | 1871740977 | $280K |
| 16 | 1194833939 | $247K |
| 17 | 1710294368 | $205K |
| 18 | 1982671202 | $194K |
| 19 | 1659383719 | $186K |
| 20 | 1487783361 | $179K |
Showing top 20 of 821 providers billing this code