A7027
Combination oral and nasal mask with headgear
Combination oral and nasal mask with headgear is the #5,350 most-billed Medicaid procedure code, with $223K in payments across 3,009 claims from 2018–2024. The national median cost per claim is $85.18.
Total Paid
$223K
0.00% of all spending
Total Claims
3,009
Providers
5
Avg Cost/Claim
$74
National Cost Distribution
How much do providers bill per claim for A7027? Based on 5 providers billing this code nationally.
Median
$85.18
Average
$70.31
Std Dev
$51.22
Max
$125.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.68 and $103.94 per claim for this code.
90% bill between $14.68 and $117.01.
Top 1% bill above $124.85.
About This Procedure
HCPCS code A7027 (Combination oral and nasal mask with headgear) was billed by 5 providers across 3,009 claims, totaling $223K in Medicaid payments from 2018–2024. This code was used for 2,866 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$85.18
Providers Billing
5
National Spending
$223K
Avg/Median Ratio
0.83×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A7027
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548336423 | $213K |
| 2 | 1225146459 | $4K |
| 3 | 1366510554 | $4K |
| 4 | 1295823508 | $2K |
| 5 | 1952490682 | $10 |
Showing top 5 of 5 providers billing this code