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#6551 of 11K

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)

p10
$13.52
p25
$33.81
Median
$67.62
p75
$101.43
p90
$121.72
p95
$128.48
p99
$133.89

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.