A9597
HCPCS Procedure Code
HCPCS code A9597 is the #6,551 most-billed Medicaid procedure code, with $56K in payments across 678 claims from 2018–2024. The national median cost per claim is $67.62.
Total Paid
$56K
0.00% of all spending
Total Claims
678
Providers
3
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for A9597? Based on 2 providers billing this code nationally.
Median
$67.62
Average
$67.62
Std Dev
$95.63
Max
$135.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $33.81 and $101.43 per claim for this code.
90% bill between $13.52 and $121.72.
Top 1% bill above $133.89.
About This Procedure
HCPCS code A9597 was billed by 3 providers across 678 claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 649 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$67.62
Providers Billing
2
National Spending
$56K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.