A5504
HCPCS Procedure Code
HCPCS code A5504 is the #8,067 most-billed Medicaid procedure code, with $7K in payments across 293 claims from 2018–2024. The national median cost per claim is $23.27.
Total Paid
$7K
0.00% of all spending
Total Claims
293
Providers
3
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for A5504? Based on 3 providers billing this code nationally.
Median
$23.27
Average
$16.60
Std Dev
$11.63
Max
$23.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.22 and $23.31 per claim for this code.
90% bill between $7.19 and $23.34.
Top 1% bill above $23.36.
About This Procedure
HCPCS code A5504 was billed by 3 providers across 293 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 198 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.27
Providers Billing
3
National Spending
$7K
Avg/Median Ratio
0.71×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.