A9152
HCPCS Procedure Code
HCPCS code A9152 is the #5,393 most-billed Medicaid procedure code, with $210K in payments across 2,983 claims from 2018–2024. The national median cost per claim is $6.36. Costs vary widely — the 90th percentile is $98.63 per claim, 15.5× the median.
Total Paid
$210K
0.00% of all spending
Total Claims
2,983
Providers
8
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for A9152? Based on 4 providers billing this code nationally.
Median
$6.36
Average
$37.06
Std Dev
$65.88
Max
$135.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.06 and $43.37 per claim for this code.
90% bill between $0.04 and $98.63.
Top 1% bill above $131.79.
About This Procedure
HCPCS code A9152 was billed by 8 providers across 2,983 claims, totaling $210K in Medicaid payments from 2018–2024. This code was used for 1,699 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.36
Providers Billing
4
National Spending
$210K
Avg/Median Ratio
5.83×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9152
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $210K |
| 2 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $393 |
| 3 | 1285845982 | $27 |
| 4 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $14 |
| 5 | 1699986331 | $0 |
| 6 | 1033178561 | $0 |
| 7 | 1619928017 | $0 |
| 8 | 1487865184 | $0 |
Showing top 8 of 8 providers billing this code