A0998
HCPCS Procedure Code
HCPCS code A0998 is the #782 most-billed Medicaid procedure code, with $81.0M in payments across 715K claims from 2018–2024. The national median cost per claim is $63.75. Costs vary widely — the 90th percentile is $220.64 per claim, 3.5× the median.
Total Paid
$81.0M
0.01% of all spending
Total Claims
715K
Providers
649
Avg Cost/Claim
$113
National Cost Distribution
How much do providers bill per claim for A0998? Based on 587 providers billing this code nationally.
Median
$63.75
Average
$110.33
Std Dev
$165.30
Max
$1,517.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.23 and $124.19 per claim for this code.
90% bill between $9.00 and $220.64.
Top 1% bill above $1,005.06.
About This Procedure
HCPCS code A0998 was billed by 649 providers across 715K claims, totaling $81.0M in Medicaid payments from 2018–2024. This code was used for 588K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$63.75
Providers Billing
587
National Spending
$81.0M
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A0998
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1760522155 | $6.4M |
| 2 | 1306887260 | $6.2M |
| 3 | 1619082211 | $5.5M |
| 4 | 1851441075 | $5.1M |
| 5 | 1841354263 | $3.0M |
| 6 | 1578510764 | $2.0M |
| 7 | 1689600975 | $2.0M |
| 8 | 1477599900 | $1.7M |
| 9 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $1.4M |
| 10 | 1871521542 | $1.3M |
| 11 | 1689621047 | $1.3M |
| 12 | 1336130848 | $1.1M |
| 13 | 1346282183 | $1.1M |
| 14 | 1134161391 | $1.1M |
| 15 | 1164449807 | $1.1M |
| 16 | 1457469462 | $1.0M |
| 17 | 1720046188 | $991K |
| 18 | 1093790974 | $976K |
| 19 | 1366499527 | $923K |
| 20 | 1811055569 | $886K |
Showing top 20 of 649 providers billing this code