A4263
HCPCS Procedure Code
HCPCS code A4263 is the #6,593 most-billed Medicaid procedure code, with $53K in payments across 3K claims from 2018–2024. The national median cost per claim is $4.01. Costs vary widely — the 90th percentile is $37.53 per claim, 9.4× the median.
Total Paid
$53K
0.00% of all spending
Total Claims
3K
Providers
19
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for A4263? Based on 10 providers billing this code nationally.
Median
$4.01
Average
$15.30
Std Dev
$21.86
Max
$65.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.06 and $26.71 per claim for this code.
90% bill between $0.00 and $37.53.
Top 1% bill above $62.52.
About This Procedure
HCPCS code A4263 was billed by 19 providers across 3K claims, totaling $53K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.01
Providers Billing
10
National Spending
$53K
Avg/Median Ratio
3.82×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4263
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932517869 | $35K |
| 2 | 1245427756 | $9K |
| 3 | 1669540688 | $5K |
| 4 | 1013468578 | $4K |
| 5 | 1801843685 | $345 |
| 6 | 1639101751 | $69 |
| 7 | 1255314191 | $17 |
| 8 | 1982268298 | $17 |
| 9 | 1255682811 | $3 |
| 10 | 1346663051 | $0 |
| 11 | 1396164216 | $0 |
| 12 | 1063513794 | $0 |
| 13 | 1588645097 | $0 |
| 14 | 1487979647 | $0 |
| 15 | 1790893451 | $0 |
| 16 | 1851410948 | $0 |
| 17 | 1942341466 | $0 |
| 18 | 1063561439 | $0 |
| 19 | 1346342466 | $0 |
Showing top 19 of 19 providers billing this code