A5503
HCPCS Procedure Code
HCPCS code A5503 is the #5,599 most-billed Medicaid procedure code, with $169K in payments across 9,792 claims from 2018–2024. The national median cost per claim is $21.85. Costs vary widely — the 90th percentile is $50.31 per claim, 2.3× the median.
Total Paid
$169K
0.00% of all spending
Total Claims
9,792
Providers
6
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for A5503? Based on 6 providers billing this code nationally.
Median
$21.85
Average
$27.42
Std Dev
$25.12
Max
$76.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.16 and $23.78 per claim for this code.
90% bill between $10.09 and $50.31.
Top 1% bill above $73.68.
About This Procedure
HCPCS code A5503 was billed by 6 providers across 9,792 claims, totaling $169K in Medicaid payments from 2018–2024. This code was used for 7,587 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.85
Providers Billing
6
National Spending
$169K
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A5503
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992832075 | $160K |
| 2 | 1508195066 | $6K |
| 3 | 1700973948 | $2K |
| 4 | 1265616643 | $1K |
| 5 | 1982881983 | $596 |
| 6 | 1720068000 | $44 |
Showing top 6 of 6 providers billing this code