A4267
HCPCS Procedure Code
HCPCS code A4267 is the #1,413 most-billed Medicaid procedure code, with $23.9M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $7.86.
Total Paid
$23.9M
0.00% of all spending
Total Claims
2.5M
Providers
649
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for A4267? Based on 614 providers billing this code nationally.
Median
$7.86
Average
$8.73
Std Dev
$8.41
Max
$136.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.99 and $11.61 per claim for this code.
90% bill between $1.58 and $14.84.
Top 1% bill above $33.94.
About This Procedure
HCPCS code A4267 was billed by 649 providers across 2.5M claims, totaling $23.9M in Medicaid payments from 2018–2024. This code was used for 2.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.86
Providers Billing
614
National Spending
$23.9M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4267
| # | Provider | Total Paid |
|---|---|---|
| 1 | Planned Parenthood/orange And San Bernardino Counties, Inc. Orange, CA · Clinic/Center, Ambulatory Family Planning Facility | $3.8M |
| 2 | Planned Parenthood Of Wisconsin Milwaukee, WI · Clinic/Center Ambulatory Family Planning Facility | $1.5M |
| 3 | 1629057146 | $947K |
| 4 | 1174633143 | $829K |
| 5 | 1538152491 | $498K |
| 6 | 1982798831 | $388K |
| 7 | 1285754598 | $379K |
| 8 | 1487749495 | $370K |
| 9 | 1093989667 | $324K |
| 10 | 1780859280 | $316K |
| 11 | 1043304769 | $301K |
| 12 | 1336174325 | $292K |
| 13 | 1639218548 | $276K |
| 14 | 1306931266 | $258K |
| 15 | 1962456558 | $247K |
| 16 | 1558420695 | $236K |
| 17 | 1790739126 | $224K |
| 18 | 1760535660 | $184K |
| 19 | 1598719189 | $176K |
| 20 | 1497780480 | $176K |
Showing top 20 of 649 providers billing this code