A9281
HCPCS Procedure Code
HCPCS code A9281 is the #5,953 most-billed Medicaid procedure code, with $115K in payments across 5,100 claims from 2018–2024. The national median cost per claim is $19.73. Costs vary widely — the 90th percentile is $50.13 per claim, 2.5× the median.
Total Paid
$115K
0.00% of all spending
Total Claims
5,100
Providers
12
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for A9281? Based on 12 providers billing this code nationally.
Median
$19.73
Average
$25.11
Std Dev
$19.05
Max
$60.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.93 and $36.92 per claim for this code.
90% bill between $5.78 and $50.13.
Top 1% bill above $58.97.
About This Procedure
HCPCS code A9281 was billed by 12 providers across 5,100 claims, totaling $115K in Medicaid payments from 2018–2024. This code was used for 4,671 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$19.73
Providers Billing
12
National Spending
$115K
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A9281
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558458489 | $55K |
| 2 | 1144358839 | $19K |
| 3 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $14K |
| 4 | 1336452911 | $8K |
| 5 | 1508882143 | $7K |
| 6 | 1871575563 | $4K |
| 7 | 1710932173 | $4K |
| 8 | 1104831544 | $2K |
| 9 | 1679570121 | $1K |
| 10 | 1851328157 | $206 |
| 11 | 1881698520 | $180 |
| 12 | 1629072665 | $57 |
Showing top 12 of 12 providers billing this code