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#7595 of 11K

A5505

HCPCS Procedure Code

HCPCS code A5505 is the #7,595 most-billed Medicaid procedure code, with $14K in payments across 224 claims from 2018–2024. The national median cost per claim is $44.54.

Total Paid

$14K

0.00% of all spending

Total Claims

224

Providers

2

Avg Cost/Claim

$61

National Cost Distribution

How much do providers bill per claim for A5505? Based on 2 providers billing this code nationally.

Median

$44.54

Average

$44.54

Std Dev

$29.92

Max

$65.69

Percentile Distribution (Cost per Claim)

p10
$27.62
p25
$33.96
Median
$44.54
p75
$55.12
p90
$61.46
p95
$63.58
p99
$65.27

50% of providers bill between $33.96 and $55.12 per claim for this code.

90% bill between $27.62 and $61.46.

Top 1% bill above $65.27.

About This Procedure

HCPCS code A5505 was billed by 2 providers across 224 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 186 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.54

Providers Billing

2

National Spending

$14K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.