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#4357 of 11K

A4376

HCPCS Procedure Code

HCPCS code A4376 is the #4,357 most-billed Medicaid procedure code, with $639K in payments across 984 claims from 2018–2024. The national median cost per claim is $376.19.

Total Paid

$639K

0.00% of all spending

Total Claims

984

Providers

2

Avg Cost/Claim

$649

National Cost Distribution

How much do providers bill per claim for A4376? Based on 2 providers billing this code nationally.

Median

$376.19

Average

$376.19

Std Dev

$397.94

Max

$657.57

Percentile Distribution (Cost per Claim)

p10
$151.08
p25
$235.49
Median
$376.19
p75
$516.88
p90
$601.29
p95
$629.43
p99
$651.94

50% of providers bill between $235.49 and $516.88 per claim for this code.

90% bill between $151.08 and $601.29.

Top 1% bill above $651.94.

About This Procedure

HCPCS code A4376 was billed by 2 providers across 984 claims, totaling $639K in Medicaid payments from 2018–2024. This code was used for 653 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$376.19

Providers Billing

2

National Spending

$639K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.