A4222
HCPCS Procedure Code
HCPCS code A4222 is the #720 most-billed Medicaid procedure code, with $96.4M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $62.70. Costs vary widely — the 90th percentile is $219.45 per claim, 3.5× the median.
Total Paid
$96.4M
0.01% of all spending
Total Claims
1.0M
Providers
301
Avg Cost/Claim
$93
National Cost Distribution
How much do providers bill per claim for A4222? Based on 296 providers billing this code nationally.
Median
$62.70
Average
$101.96
Std Dev
$116.16
Max
$963.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.10 and $136.16 per claim for this code.
90% bill between $12.05 and $219.45.
Top 1% bill above $504.26.
About This Procedure
HCPCS code A4222 was billed by 301 providers across 1.0M claims, totaling $96.4M in Medicaid payments from 2018–2024. This code was used for 429K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.70
Providers Billing
296
National Spending
$96.4M
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4222
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790730596 | $8.3M |
| 2 | 1285687749 | $7.6M |
| 3 | 1538492194 | $7.6M |
| 4 | 1255740387 | $6.7M |
| 5 | 1770512501 | $6.5M |
| 6 | 1396852000 | $4.4M |
| 7 | 1710225271 | $2.9M |
| 8 | 1346254620 | $2.6M |
| 9 | 1013942788 | $2.1M |
| 10 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $2.1M |
| 11 | 1912958174 | $1.7M |
| 12 | 1164556213 | $1.5M |
| 13 | 1346270527 | $1.5M |
| 14 | 1750686432 | $1.2M |
| 15 | 1184161283 | $1.2M |
| 16 | 1144250382 | $1.1M |
| 17 | 1811085103 | $1.0M |
| 18 | 1104919638 | $1.0M |
| 19 | 1053315788 | $999K |
| 20 | 1700045077 | $978K |
Showing top 20 of 301 providers billing this code