A4306
HCPCS Procedure Code
HCPCS code A4306 is the #4,061 most-billed Medicaid procedure code, with $880K in payments across 28K claims from 2018–2024. The national median cost per claim is $21.29. Costs vary widely — the 90th percentile is $98.80 per claim, 4.6× the median.
Total Paid
$880K
0.00% of all spending
Total Claims
28K
Providers
14
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for A4306? Based on 10 providers billing this code nationally.
Median
$21.29
Average
$37.49
Std Dev
$41.57
Max
$103.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.82 and $70.98 per claim for this code.
90% bill between $1.61 and $98.80.
Top 1% bill above $103.01.
About This Procedure
HCPCS code A4306 was billed by 14 providers across 28K claims, totaling $880K in Medicaid payments from 2018–2024. This code was used for 25K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.29
Providers Billing
10
National Spending
$880K
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4306
| # | Provider | Total Paid |
|---|---|---|
| 1 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $549K |
| 2 | 1164735379 | $183K |
| 3 | 1285600072 | $130K |
| 4 | 1043339807 | $9K |
| 5 | 1225316052 | $6K |
| 6 | 1619970845 | $1K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $693 |
| 8 | 1821159195 | $448 |
| 9 | 1487668927 | $436 |
| 10 | 1316147242 | $21 |
| 11 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $0 |
| 12 | 1386758225 | $0 |
| 13 | 1104203017 | $0 |
| 14 | Oregon Health & Science University Portland, OR · General Practice | $0 |
Showing top 14 of 14 providers billing this code