A4467
HCPCS Procedure Code
HCPCS code A4467 is the #1,964 most-billed Medicaid procedure code, with $10.9M in payments across 240K claims from 2018–2024. The national median cost per claim is $20.21. Costs vary widely — the 90th percentile is $51.28 per claim, 2.5× the median.
Total Paid
$10.9M
0.00% of all spending
Total Claims
240K
Providers
73
Avg Cost/Claim
$45
National Cost Distribution
How much do providers bill per claim for A4467? Based on 59 providers billing this code nationally.
Median
$20.21
Average
$25.44
Std Dev
$19.67
Max
$95.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.03 and $40.08 per claim for this code.
90% bill between $4.51 and $51.28.
Top 1% bill above $76.29.
About This Procedure
HCPCS code A4467 was billed by 73 providers across 240K claims, totaling $10.9M in Medicaid payments from 2018–2024. This code was used for 216K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.21
Providers Billing
59
National Spending
$10.9M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4467
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $8.4M |
| 2 | 1588028005 | $530K |
| 3 | 1114398054 | $440K |
| 4 | 1639375835 | $380K |
| 5 | 1891787594 | $216K |
| 6 | 1033221841 | $137K |
| 7 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $121K |
| 8 | 1689665911 | $98K |
| 9 | 1033284435 | $83K |
| 10 | 1295259612 | $59K |
| 11 | 1881100089 | $45K |
| 12 | 1225165509 | $36K |
| 13 | 1326048893 | $36K |
| 14 | 1265526396 | $30K |
| 15 | 1487646360 | $28K |
| 16 | 1831101948 | $24K |
| 17 | 1912900978 | $21K |
| 18 | 1740606409 | $21K |
| 19 | 1861573685 | $20K |
| 20 | 1972500940 | $19K |
Showing top 20 of 73 providers billing this code