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#1668 of 11K

A9270

HCPCS Procedure Code

HCPCS code A9270 is the #1,668 most-billed Medicaid procedure code, with $16.5M in payments across 13.4M claims from 2018–2024. The national median cost per claim is $0.20. Costs vary widely — the 90th percentile is $7.14 per claim, 35.7× the median.

Total Paid

$16.5M

0.00% of all spending

Total Claims

13.4M

Providers

2K

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for A9270? Based on 1K providers billing this code nationally.

Median

$0.20

Average

$17.64

Std Dev

$227.87

Max

$5,083.74

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.20
p75
$1.75
p90
$7.14
p95
$14.98
p99
$101.65

50% of providers bill between $0.01 and $1.75 per claim for this code.

90% bill between $0.00 and $7.14.

Top 1% bill above $101.65.

About This Procedure

HCPCS code A9270 was billed by 2K providers across 13.4M claims, totaling $16.5M in Medicaid payments from 2018–2024. This code was used for 5.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.20

Providers Billing

1K

National Spending

$16.5M

Avg/Median Ratio

88.20×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A9270

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$2.6M
21164758868$768K
31568460772$685K
41992466635$329K
51437122009$322K
6City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$301K
71821017880$300K
81326085424$266K
91821186313$257K
101023387479$241K
111699874248$236K
121437699584$211K
131427081934$189K
14Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$184K
15Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$177K
161174579155$164K
171144274317$164K
181457309270$162K
191508968819$161K
201144211020$155K

Showing top 20 of 2K providers billing this code