A7016
HCPCS Procedure Code
HCPCS code A7016 is the #5,677 most-billed Medicaid procedure code, with $156K in payments across 65K claims from 2018–2024. The national median cost per claim is $3.21.
Total Paid
$156K
0.00% of all spending
Total Claims
65K
Providers
84
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for A7016? Based on 75 providers billing this code nationally.
Median
$3.21
Average
$3.35
Std Dev
$2.39
Max
$10.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.34 and $5.14 per claim for this code.
90% bill between $0.37 and $5.71.
Top 1% bill above $9.34.
About This Procedure
HCPCS code A7016 was billed by 84 providers across 65K claims, totaling $156K in Medicaid payments from 2018–2024. This code was used for 57K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.21
Providers Billing
75
National Spending
$156K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7016
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1912908773 | $44K |
| 2 | 1023175239 | $23K |
| 3 | 1588959084 | $19K |
| 4 | 1811166903 | $8K |
| 5 | 1831200294 | $8K |
| 6 | 1689085854 | $5K |
| 7 | 1598139883 | $5K |
| 8 | 1770605560 | $5K |
| 9 | 1942384888 | $4K |
| 10 | 1326100264 | $3K |
| 11 | 1164957486 | $2K |
| 12 | 1871670752 | $2K |
| 13 | 1750576484 | $2K |
| 14 | 1457624082 | $2K |
| 15 | 1710139316 | $2K |
| 16 | 1386637130 | $2K |
| 17 | 1619390879 | $2K |
| 18 | 1427125905 | $1K |
| 19 | 1780084566 | $1K |
| 20 | 1972823987 | $1K |
Showing top 20 of 84 providers billing this code