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#5599 of 11K

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)

p10
$10.09
p25
$18.16
Median
$21.85
p75
$23.78
p90
$50.31
p95
$63.29
p99
$73.68

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

#ProviderTotal Paid
11992832075$160K
21508195066$6K
31700973948$2K
41265616643$1K
51982881983$596
61720068000$44

Showing top 6 of 6 providers billing this code