A9552
HCPCS Procedure Code
HCPCS code A9552 is the #860 most-billed Medicaid procedure code, with $66.3M in payments across 489K claims from 2018–2024. The national median cost per claim is $89.01. Costs vary widely — the 90th percentile is $332.78 per claim, 3.7× the median.
Total Paid
$66.3M
0.01% of all spending
Total Claims
489K
Providers
815
Avg Cost/Claim
$136
National Cost Distribution
How much do providers bill per claim for A9552? Based on 642 providers billing this code nationally.
Median
$89.01
Average
$158.16
Std Dev
$237.35
Max
$1,944.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.38 and $193.69 per claim for this code.
90% bill between $3.54 and $332.78.
Top 1% bill above $1,444.30.
About This Procedure
HCPCS code A9552 was billed by 815 providers across 489K claims, totaling $66.3M in Medicaid payments from 2018–2024. This code was used for 440K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.01
Providers Billing
642
National Spending
$66.3M
Avg/Median Ratio
1.78×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A9552
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649726738 | $2.9M |
| 2 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $2.2M |
| 3 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $2.2M |
| 4 | 1144380999 | $1.6M |
| 5 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $1.5M |
| 6 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $1.5M |
| 7 | 1639278369 | $1.3M |
| 8 | 1699756221 | $1.3M |
| 9 | 1851347272 | $1.2M |
| 10 | Advanced Radiology P A Owings Mills, MD · Radiology Diagnostic Radiology | $1.1M |
| 11 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $1.1M |
| 12 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $1.0M |
| 13 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $988K |
| 14 | 1053307736 | $978K |
| 15 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $932K |
| 16 | 1851361778 | $930K |
| 17 | University Of California Irvine Orange, CA · General Acute Care Hospital | $828K |
| 18 | Lenox Hill Radiology & Medical Imaging Associates, Pc New York, NY · Radiology, Body Imaging | $825K |
| 19 | 1588954929 | $787K |
| 20 | 1184606600 | $744K |
Showing top 20 of 815 providers billing this code