A4371
HCPCS Procedure Code
HCPCS code A4371 is the #3,044 most-billed Medicaid procedure code, with $2.7M in payments across 599K claims from 2018–2024. The national median cost per claim is $3.49. Costs vary widely — the 90th percentile is $8.35 per claim, 2.4× the median.
Total Paid
$2.7M
0.00% of all spending
Total Claims
599K
Providers
230
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for A4371? Based on 226 providers billing this code nationally.
Median
$3.49
Average
$4.74
Std Dev
$5.98
Max
$61.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.32 and $5.33 per claim for this code.
90% bill between $1.28 and $8.35.
Top 1% bill above $24.20.
About This Procedure
HCPCS code A4371 was billed by 230 providers across 599K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 540K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.49
Providers Billing
226
National Spending
$2.7M
Avg/Median Ratio
1.36×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4371
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $365K |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $251K |
| 3 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $170K |
| 4 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $148K |
| 5 | 1295101533 | $104K |
| 6 | 1649244138 | $84K |
| 7 | 1710932173 | $72K |
| 8 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $69K |
| 9 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $63K |
| 10 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $62K |
| 11 | 1609024397 | $59K |
| 12 | 1992891238 | $48K |
| 13 | 1275647299 | $44K |
| 14 | 1881698439 | $40K |
| 15 | 1427139641 | $37K |
| 16 | 1346295953 | $37K |
| 17 | Degc Enterprises (U.s.), Inc. Clearwater, FL · Durable Medical Equipment & Medical Supplies | $35K |
| 18 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $32K |
| 19 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $31K |
| 20 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $30K |
Showing top 20 of 230 providers billing this code