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#7703 of 11K

A6552

HCPCS Procedure Code

HCPCS code A6552 is the #7,703 most-billed Medicaid procedure code, with $11K in payments across 268 claims from 2018–2024. The national median cost per claim is $52.66.

Total Paid

$11K

0.00% of all spending

Total Claims

268

Providers

3

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for A6552? Based on 3 providers billing this code nationally.

Median

$52.66

Average

$49.12

Std Dev

$20.19

Max

$67.31

Percentile Distribution (Cost per Claim)

p10
$32.45
p25
$40.03
Median
$52.66
p75
$59.98
p90
$64.38
p95
$65.84
p99
$67.02

50% of providers bill between $40.03 and $59.98 per claim for this code.

90% bill between $32.45 and $64.38.

Top 1% bill above $67.02.

About This Procedure

HCPCS code A6552 was billed by 3 providers across 268 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 161 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.66

Providers Billing

3

National Spending

$11K

Avg/Median Ratio

0.93×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.