#1243 of 11K

A4224

HCPCS Procedure Code

HCPCS code A4224 is the #1,243 most-billed Medicaid procedure code, with $31.6M in payments across 535K claims from 2018–2024. The national median cost per claim is $33.51. Costs vary widely — the 90th percentile is $128.08 per claim, 3.8× the median.

Total Paid

$31.6M

0.00% of all spending

Total Claims

535K

Providers

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for A4224? Based on 69 providers billing this code nationally.

Median

$33.51

Average

$64.01

Std Dev

$96.78

Max

$663.98

Percentile Distribution (Cost per Claim)

p10

$11.12

p25

$23.22

Median

$33.51

p75

$66.75

p90

$128.08

p95

$185.96

p99

$466.07

50% of providers bill between $23.22 and $66.75 per claim for this code.

90% bill between $11.12 and $128.08.

Top 1% bill above $466.07.

About This Procedure

HCPCS code A4224 was billed by 70 providers across 535K claims, totaling $31.6M in Medicaid payments from 2018–2024. This code was used for 437K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.51

Providers Billing

National Spending

$31.6M

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4224

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Minimed Distribution Corp. Northridge, CA · Durable Medical Equipment & Medical Supplies	$14.8M	$84.72	2.5× median	Above 75th
2	Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies	$2.3M	$29.42	0.9× median	Below Median
3	1619295516	$2.0M	$96.46	2.9× median	Above 75th
4	Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies	$1.3M	$71.48	2.1× median	Above 75th
5	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$1.3M	$51.85	1.5× median	Above Median
6	1609024397	$1.2M	$71.89	2.1× median	Above 75th
7	1023438538	$869K	$33.92	1.0× median	Above Median
8	1255740387	$857K	$177.47	5.3× median	Top 10%
9	1124213855	$772K	$62.13	1.9× median	Above Median
10	1700042033	$510K	$126.03	3.8× median	Above 75th
11	Medical Express Depot Inc. Pittsburgh, PA · Durable Medical Equipment & Medical Supplies	$509K	$79.80	2.4× median	Above 75th
12	Edwards Health Care Services, Inc. Hudson, OH · Durable Medical Equipment & Medical Supplies	$471K	$29.05	0.9× median	Below Median
13	1710932173	$471K	$65.73	2.0× median	Above Median
14	1750473252	$391K	$59.82	1.8× median	Above Median
15	1356716534	$332K	$39.99	1.2× median	Above Median
16	1174749972	$306K	$663.98	19.8× median	Top 1%
17	1013347202	$273K	$136.30	4.1× median	Top 10%
18	1164537452	$231K	$27.69	0.8× median	Below Median
19	Integra Partners Llc Troy, MI · Orthotic Fitter	$225K	$118.84	3.5× median	Above 75th
20	1962731570	$216K	$13.18	0.4× median	Below Median

Showing top 20 of 70 providers billing this code

Related Procedures

A4230Infusion supplies, non-chemotherapy, per visit$332.1M A4223$105.7M A4222$96.4M A4232$83.2M A4217Sterile water or saline for nebulizer, per unit$25.9M

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