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#5393 of 11K

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)

p10
$0.04
p25
$0.06
Median
$6.36
p75
$43.37
p90
$98.63
p95
$117.05
p99
$131.79

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

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$210K
2Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$393
31285845982$27
4Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$14
51699986331$0
61033178561$0
71619928017$0
81487865184$0

Showing top 8 of 8 providers billing this code