A4268
HCPCS Procedure Code
HCPCS code A4268 is the #4,262 most-billed Medicaid procedure code, with $705K in payments across 61K claims from 2018–2024. The national median cost per claim is $7.39. Costs vary widely — the 90th percentile is $23.21 per claim, 3.1× the median.
Total Paid
$705K
0.00% of all spending
Total Claims
61K
Providers
39
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for A4268? Based on 34 providers billing this code nationally.
Median
$7.39
Average
$10.37
Std Dev
$8.89
Max
$36.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.85 and $14.28 per claim for this code.
90% bill between $2.22 and $23.21.
Top 1% bill above $34.48.
About This Procedure
HCPCS code A4268 was billed by 39 providers across 61K claims, totaling $705K in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.39
Providers Billing
34
National Spending
$705K
Avg/Median Ratio
1.40×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4268
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1538152491 | $262K |
| 2 | 1043268568 | $103K |
| 3 | 1356481436 | $100K |
| 4 | 1902855026 | $68K |
| 5 | 1801154463 | $55K |
| 6 | 1275030009 | $27K |
| 7 | 1023253028 | $22K |
| 8 | 1265462865 | $22K |
| 9 | 1871611806 | $9K |
| 10 | City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator | $8K |
| 11 | 1316044522 | $5K |
| 12 | 1467643130 | $5K |
| 13 | 1053680827 | $3K |
| 14 | 1477708469 | $2K |
| 15 | 1962650820 | $2K |
| 16 | 1487772836 | $2K |
| 17 | 1679572788 | $1K |
| 18 | 1740263326 | $1K |
| 19 | 1881743631 | $1K |
| 20 | 1902028541 | $960 |
Showing top 20 of 39 providers billing this code