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#4315 of 11K

A7012

HCPCS Procedure Code

HCPCS code A7012 is the #4,315 most-billed Medicaid procedure code, with $670K in payments across 141K claims from 2018–2024. The national median cost per claim is $3.80.

Total Paid

$670K

0.00% of all spending

Total Claims

141K

Providers

123

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for A7012? Based on 123 providers billing this code nationally.

Median

$3.80

Average

$4.25

Std Dev

$2.69

Max

$14.13

Percentile Distribution (Cost per Claim)

p10
$1.83
p25
$2.47
Median
$3.80
p75
$4.98
p90
$7.46
p95
$9.41
p99
$13.52

50% of providers bill between $2.47 and $4.98 per claim for this code.

90% bill between $1.83 and $7.46.

Top 1% bill above $13.52.

About This Procedure

HCPCS code A7012 was billed by 123 providers across 141K claims, totaling $670K in Medicaid payments from 2018–2024. This code was used for 121K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.80

Providers Billing

123

National Spending

$670K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A7012

#ProviderTotal Paid
11508885617$43K
21861480048$41K
31871738153$38K
4Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$37K
51770581498$35K
61902137409$34K
71891094108$28K
8Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$25K
91093761611$23K
101477748119$22K
111174505549$18K
121073692794$17K
131538128293$16K
141235329228$15K
151588976815$12K
161063452829$11K
171386688414$10K
181497831507$10K
191619909496$10K
201922103142$10K

Showing top 20 of 123 providers billing this code