A4262
HCPCS Procedure Code
HCPCS code A4262 is the #7,688 most-billed Medicaid procedure code, with $12K in payments across 11K claims from 2018–2024. The national median cost per claim is $0.30. Costs vary widely — the 90th percentile is $8.17 per claim, 27.2× the median.
Total Paid
$12K
0.00% of all spending
Total Claims
11K
Providers
22
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for A4262? Based on 9 providers billing this code nationally.
Median
$0.30
Average
$4.30
Std Dev
$11.75
Max
$35.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.06 and $0.76 per claim for this code.
90% bill between $0.03 and $8.17.
Top 1% bill above $32.86.
About This Procedure
HCPCS code A4262 was billed by 22 providers across 11K claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.30
Providers Billing
9
National Spending
$12K
Avg/Median Ratio
14.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4262
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1245629369 | $10K |
| 2 | 1841368925 | $1K |
| 3 | 1396820007 | $549 |
| 4 | 1609205731 | $76 |
| 5 | 1255314191 | $59 |
| 6 | 1669540688 | $26 |
| 7 | 1952653131 | $16 |
| 8 | 1386872265 | $11 |
| 9 | 1326674813 | $5 |
| 10 | 1639101751 | $0 |
| 11 | 1467075721 | $0 |
| 12 | 1407828379 | $0 |
| 13 | 1164435780 | $0 |
| 14 | 1508949603 | $0 |
| 15 | 1518231885 | $0 |
| 16 | 1356860811 | $0 |
| 17 | 1942341466 | $0 |
| 18 | 1487843280 | $0 |
| 19 | 1659361848 | $0 |
| 20 | 1649306218 | $0 |
Showing top 20 of 22 providers billing this code