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#4598 of 11K

A9595

HCPCS Procedure Code

HCPCS code A9595 is the #4,598 most-billed Medicaid procedure code, with $496K in payments across 220 claims from 2018–2024. The national median cost per claim is $1,948.69. Costs vary widely — the 90th percentile is $3,946.47 per claim, 2.0× the median.

Total Paid

$496K

0.00% of all spending

Total Claims

220

Providers

6

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for A9595? Based on 6 providers billing this code nationally.

Median

$1,948.69

Average

$2,105.27

Std Dev

$1,729.25

Max

$4,084.66

Percentile Distribution (Cost per Claim)

p10
$420.65
p25
$549.64
Median
$1,948.69
p75
$3,617.64
p90
$3,946.47
p95
$4,015.56
p99
$4,070.84

50% of providers bill between $549.64 and $3,617.64 per claim for this code.

90% bill between $420.65 and $3,946.47.

Top 1% bill above $4,070.84.

About This Procedure

HCPCS code A9595 was billed by 6 providers across 220 claims, totaling $496K in Medicaid payments from 2018–2024. This code was used for 211 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,948.69

Providers Billing

6

National Spending

$496K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A9595

#ProviderTotal Paid
11396794574$212K
2City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$174K
3Stanford Health Care

Stanford, CA · General Acute Care Hospital

$57K
41912115023$24K
5Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$22K
6Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$6K

Showing top 6 of 6 providers billing this code