A0424
HCPCS Procedure Code
HCPCS code A0424 is the #1,786 most-billed Medicaid procedure code, with $13.9M in payments across 490K claims from 2018–2024. The national median cost per claim is $20.00. Costs vary widely — the 90th percentile is $44.37 per claim, 2.2× the median.
Total Paid
$13.9M
0.00% of all spending
Total Claims
490K
Providers
101
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for A0424? Based on 89 providers billing this code nationally.
Median
$20.00
Average
$45.28
Std Dev
$133.17
Max
$1,119.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.24 and $33.18 per claim for this code.
90% bill between $11.61 and $44.37.
Top 1% bill above $677.50.
About This Procedure
HCPCS code A0424 was billed by 101 providers across 490K claims, totaling $13.9M in Medicaid payments from 2018–2024. This code was used for 288K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.00
Providers Billing
89
National Spending
$13.9M
Avg/Median Ratio
2.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A0424
| # | Provider | Total Paid |
|---|---|---|
| 1 | Falck Mobile Health Corp Orange, CA · Ambulance, Land Transport | $2.7M |
| 2 | 1528569175 | $1.9M |
| 3 | Epicmd Technologies Llc Miami, FL · Transportation Network Company | $1.5M |
| 4 | Modivcare Solutions, Llc Denver, CO · Transportation Broker | $1.4M |
| 5 | 1043263080 | $1.3M |
| 6 | 1275835670 | $1.1M |
| 7 | American Logistics Llc. St. George, UT · Transportation Broker | $339K |
| 8 | 1043627961 | $292K |
| 9 | 1053453951 | $290K |
| 10 | 1992854772 | $286K |
| 11 | 1205322914 | $241K |
| 12 | 1114577533 | $238K |
| 13 | 1699230300 | $206K |
| 14 | 1417124629 | $181K |
| 15 | 1639661127 | $170K |
| 16 | 1609823228 | $156K |
| 17 | 1033202635 | $137K |
| 18 | 1497876239 | $131K |
| 19 | 1881149151 | $94K |
| 20 | 1225176050 | $87K |
Showing top 20 of 101 providers billing this code