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#782 of 11K

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)

p10
$9.00
p25
$36.23
Median
$63.75
p75
$124.19
p90
$220.64
p95
$299.52
p99
$1,005.06

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

#ProviderTotal Paid
11760522155$6.4M
21306887260$6.2M
31619082211$5.5M
41851441075$5.1M
51841354263$3.0M
61578510764$2.0M
71689600975$2.0M
81477599900$1.7M
9Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$1.4M
101871521542$1.3M
111689621047$1.3M
121336130848$1.1M
131346282183$1.1M
141134161391$1.1M
151164449807$1.1M
161457469462$1.0M
171720046188$991K
181093790974$976K
191366499527$923K
201811055569$886K

Showing top 20 of 649 providers billing this code