A7504
HCPCS Procedure Code
HCPCS code A7504 is the #4,734 most-billed Medicaid procedure code, with $427K in payments across 13K claims from 2018–2024. The national median cost per claim is $21.00. Costs vary widely — the 90th percentile is $84.54 per claim, 4.0× the median.
Total Paid
$427K
0.00% of all spending
Total Claims
13K
Providers
9
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for A7504? Based on 9 providers billing this code nationally.
Median
$21.00
Average
$34.09
Std Dev
$33.53
Max
$92.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.50 and $50.14 per claim for this code.
90% bill between $4.82 and $84.54.
Top 1% bill above $91.85.
About This Procedure
HCPCS code A7504 was billed by 9 providers across 13K claims, totaling $427K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.00
Providers Billing
9
National Spending
$427K
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A7504
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376620815 | $214K |
| 2 | 1093761611 | $134K |
| 3 | 1922103142 | $43K |
| 4 | 1730157009 | $12K |
| 5 | 1255632394 | $10K |
| 6 | 1063453892 | $8K |
| 7 | 1013934694 | $4K |
| 8 | 1366432122 | $837 |
| 9 | Palmetto Oxygen Llc Cary, NC · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | $32 |
Showing top 9 of 9 providers billing this code