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#1553 of 11K

A4259

Lancets for blood glucose testing

Lancets for blood glucose testing is the #1,553 most-billed Medicaid procedure code, with $19.4M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $2.27. Costs vary widely — the 90th percentile is $10.08 per claim, 4.4× the median.

Total Paid

$19.4M

0.00% of all spending

Total Claims

3.4M

Providers

2K

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for A4259? Based on 2K providers billing this code nationally.

Median

$2.27

Average

$4.10

Std Dev

$4.49

Max

$31.07

Percentile Distribution (Cost per Claim)

p10
$0.27
p25
$0.51
Median
$2.27
p75
$7.18
p90
$10.08
p95
$12.04
p99
$18.48

50% of providers bill between $0.51 and $7.18 per claim for this code.

90% bill between $0.27 and $10.08.

Top 1% bill above $18.48.

About This Procedure

HCPCS code A4259 (Lancets for blood glucose testing) was billed by 2K providers across 3.4M claims, totaling $19.4M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.27

Providers Billing

2K

National Spending

$19.4M

Avg/Median Ratio

1.81×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4259

#ProviderTotal Paid
11851489702$1.5M
21104800440$1.5M
31912145541$1.3M
4Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$1.2M
51962440891$1.1M
61194880526$726K
71033142948$672K
81366879603$581K
91992736425$524K
10J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$445K
111568530855$414K
121700889227$395K
131972660322$334K
141245387943$334K
151972526861$301K
161003813064$295K
17Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$280K
181619956901$235K
191669570172$227K
201972711968$209K

Showing top 20 of 2K providers billing this code