A9279
HCPCS Procedure Code
HCPCS code A9279 is the #1,953 most-billed Medicaid procedure code, with $11.0M in payments across 222K claims from 2018–2024. The national median cost per claim is $10.45. Costs vary widely — the 90th percentile is $155.47 per claim, 14.9× the median.
Total Paid
$11.0M
0.00% of all spending
Total Claims
222K
Providers
169
Avg Cost/Claim
$50
National Cost Distribution
How much do providers bill per claim for A9279? Based on 128 providers billing this code nationally.
Median
$10.45
Average
$105.22
Std Dev
$394.76
Max
$3,965.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.57 and $46.44 per claim for this code.
90% bill between $0.13 and $155.47.
Top 1% bill above $1,309.89.
About This Procedure
HCPCS code A9279 was billed by 169 providers across 222K claims, totaling $11.0M in Medicaid payments from 2018–2024. This code was used for 201K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.45
Providers Billing
128
National Spending
$11.0M
Avg/Median Ratio
10.07×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A9279
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770067837 | $2.2M |
| 2 | 1609931583 | $1.9M |
| 3 | 1760686547 | $1.3M |
| 4 | 1275681553 | $755K |
| 5 | 1730781063 | $640K |
| 6 | 1871729616 | $442K |
| 7 | 1992205249 | $381K |
| 8 | 1649504184 | $291K |
| 9 | 1255468963 | $197K |
| 10 | 1801866173 | $186K |
| 11 | 1467665760 | $180K |
| 12 | 1689707770 | $147K |
| 13 | 1568583458 | $129K |
| 14 | 1366925398 | $127K |
| 15 | 1164865499 | $119K |
| 16 | 1477112092 | $115K |
| 17 | 1962595413 | $115K |
| 18 | Elder Services Of Cape Cod And The Islands South Dennis, MA · Case Management | $114K |
| 19 | 1609277565 | $112K |
| 20 | Old Colony Elderly Services, Inc. Brockton, MA · Case Management | $109K |
Showing top 20 of 169 providers billing this code