A4465
HCPCS Procedure Code
HCPCS code A4465 is the #3,705 most-billed Medicaid procedure code, with $1.3M in payments across 2K claims from 2018–2024. The national median cost per claim is $167.11. Costs vary widely — the 90th percentile is $597.27 per claim, 3.6× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
2K
Providers
6
Avg Cost/Claim
$625
National Cost Distribution
How much do providers bill per claim for A4465? Based on 5 providers billing this code nationally.
Median
$167.11
Average
$250.21
Std Dev
$357.17
Max
$872.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.30 and $185.17 per claim for this code.
90% bill between $10.81 and $597.27.
Top 1% bill above $844.54.
About This Procedure
HCPCS code A4465 was billed by 6 providers across 2K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$167.11
Providers Billing
5
National Spending
$1.3M
Avg/Median Ratio
1.50×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4465
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639128796 | $1.3M |
| 2 | 1811418429 | $34K |
| 3 | 1639161250 | $5K |
| 4 | 1083604300 | $5K |
| 5 | 1568415560 | $45 |
| 6 | 1750551719 | $0 |
Showing top 6 of 6 providers billing this code