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#1690 of 11K

A4287

HCPCS Procedure Code

HCPCS code A4287 is the #1,690 most-billed Medicaid procedure code, with $16.0M in payments across 335K claims from 2018–2024. The national median cost per claim is $38.21.

Total Paid

$16.0M

0.00% of all spending

Total Claims

335K

Providers

56

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for A4287? Based on 56 providers billing this code nationally.

Median

$38.21

Average

$40.43

Std Dev

$22.53

Max

$142.08

Percentile Distribution (Cost per Claim)

p10
$18.95
p25
$24.46
Median
$38.21
p75
$41.88
p90
$62.97
p95
$82.05
p99
$113.35

50% of providers bill between $24.46 and $41.88 per claim for this code.

90% bill between $18.95 and $62.97.

Top 1% bill above $113.35.

About This Procedure

HCPCS code A4287 was billed by 56 providers across 335K claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 292K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$38.21

Providers Billing

56

National Spending

$16.0M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4287

#ProviderTotal Paid
1Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$6.8M
21306961511$1.6M
31639375835$1.1M
41184960874$872K
51801300058$625K
61053364695$517K
71538254461$428K
81336219419$419K
91134505290$414K
101215997853$411K
111689665911$384K
121992164883$302K
131215277496$203K
141669415394$193K
151760918882$155K
161831708163$152K
17Integra Partners Llc

Troy, MI · Orthotic Fitter

$143K
181003462581$140K
191518007913$126K
201437348596$100K

Showing top 20 of 56 providers billing this code