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#1953 of 11K

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)

p10
$0.13
p25
$0.57
Median
$10.45
p75
$46.44
p90
$155.47
p95
$527.76
p99
$1,309.89

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

#ProviderTotal Paid
11770067837$2.2M
21609931583$1.9M
31760686547$1.3M
41275681553$755K
51730781063$640K
61871729616$442K
71992205249$381K
81649504184$291K
91255468963$197K
101801866173$186K
111467665760$180K
121689707770$147K
131568583458$129K
141366925398$127K
151164865499$119K
161477112092$115K
171962595413$115K
18Elder Services Of Cape Cod And The Islands

South Dennis, MA · Case Management

$114K
191609277565$112K
20Old Colony Elderly Services, Inc.

Brockton, MA · Case Management

$109K

Showing top 20 of 169 providers billing this code