A4223
HCPCS Procedure Code
HCPCS code A4223 is the #687 most-billed Medicaid procedure code, with $105.7M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $60.92. Costs vary widely — the 90th percentile is $290.37 per claim, 4.8× the median.
Total Paid
$105.7M
0.01% of all spending
Total Claims
1.1M
Providers
242
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for A4223? Based on 226 providers billing this code nationally.
Median
$60.92
Average
$119.73
Std Dev
$177.52
Max
$1,250.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.60 and $109.13 per claim for this code.
90% bill between $11.67 and $290.37.
Top 1% bill above $814.03.
About This Procedure
HCPCS code A4223 was billed by 242 providers across 1.1M claims, totaling $105.7M in Medicaid payments from 2018–2024. This code was used for 298K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$60.92
Providers Billing
226
National Spending
$105.7M
Avg/Median Ratio
1.97×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4223
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972841872 | $12.3M |
| 2 | 1811085103 | $7.7M |
| 3 | 1043339807 | $5.5M |
| 4 | 1255401477 | $5.1M |
| 5 | 1871889212 | $5.0M |
| 6 | 1821171877 | $4.1M |
| 7 | 1831241033 | $3.5M |
| 8 | 1346270527 | $2.7M |
| 9 | 1396852000 | $2.2M |
| 10 | 1366554701 | $2.2M |
| 11 | 1083748867 | $2.1M |
| 12 | 1881639755 | $2.1M |
| 13 | 1518912344 | $2.0M |
| 14 | 1144560434 | $1.7M |
| 15 | 1902182637 | $1.7M |
| 16 | 1922303692 | $1.5M |
| 17 | 1619316981 | $1.5M |
| 18 | 1750484903 | $1.4M |
| 19 | 1215966205 | $1.3M |
| 20 | 1619970845 | $1.3M |
Showing top 20 of 242 providers billing this code