A9554
HCPCS Procedure Code
HCPCS code A9554 is the #6,541 most-billed Medicaid procedure code, with $57K in payments across 238 claims from 2018–2024. The national median cost per claim is $110.80. Costs vary widely — the 90th percentile is $427.17 per claim, 3.9× the median.
Total Paid
$57K
0.00% of all spending
Total Claims
238
Providers
3
Avg Cost/Claim
$240
National Cost Distribution
How much do providers bill per claim for A9554? Based on 3 providers billing this code nationally.
Median
$110.80
Average
$216.41
Std Dev
$254.08
Max
$506.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $71.49 and $308.53 per claim for this code.
90% bill between $47.90 and $427.17.
Top 1% bill above $498.36.
About This Procedure
HCPCS code A9554 was billed by 3 providers across 238 claims, totaling $57K in Medicaid payments from 2018–2024. This code was used for 224 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$110.80
Providers Billing
3
National Spending
$57K
Avg/Median Ratio
1.95×
Moderately skewed
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.