A7028
HCPCS Procedure Code
HCPCS code A7028 is the #4,380 most-billed Medicaid procedure code, with $622K in payments across 3K claims from 2018–2024. The national median cost per claim is $42.57. Costs vary widely — the 90th percentile is $144.83 per claim, 3.4× the median.
Total Paid
$622K
0.00% of all spending
Total Claims
3K
Providers
5
Avg Cost/Claim
$178
National Cost Distribution
How much do providers bill per claim for A7028? Based on 5 providers billing this code nationally.
Median
$42.57
Average
$67.02
Std Dev
$76.32
Max
$198.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.26 and $65.01 per claim for this code.
90% bill between $13.64 and $144.83.
Top 1% bill above $192.73.
About This Procedure
HCPCS code A7028 was billed by 5 providers across 3K claims, totaling $622K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.57
Providers Billing
5
National Spending
$622K
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A7028
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1548336423 | $600K |
| 2 | 1174686901 | $14K |
| 3 | 1225146459 | $7K |
| 4 | 1497737431 | $446 |
| 5 | 1912394909 | $434 |
Showing top 5 of 5 providers billing this code