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#8977 of 11K

A9539

HCPCS Procedure Code

HCPCS code A9539 is the #8,977 most-billed Medicaid procedure code, with $626 in payments across 431 claims from 2018–2024. The national median cost per claim is $4.03.

Total Paid

$626

0.00% of all spending

Total Claims

431

Providers

4

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for A9539? Based on 3 providers billing this code nationally.

Median

$4.03

Average

$3.53

Std Dev

$2.13

Max

$5.35

Percentile Distribution (Cost per Claim)

p10
$1.76
p25
$2.61
Median
$4.03
p75
$4.69
p90
$5.09
p95
$5.22
p99
$5.33

50% of providers bill between $2.61 and $4.69 per claim for this code.

90% bill between $1.76 and $5.09.

Top 1% bill above $5.33.

About This Procedure

HCPCS code A9539 was billed by 4 providers across 431 claims, totaling $626 in Medicaid payments from 2018–2024. This code was used for 410 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.03

Providers Billing

3

National Spending

$626

Avg/Median Ratio

0.88×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.