A4500
HCPCS Procedure Code
HCPCS code A4500 is the #4,561 most-billed Medicaid procedure code, with $513K in payments across 13K claims from 2018–2024. The national median cost per claim is $33.49.
Total Paid
$513K
0.00% of all spending
Total Claims
13K
Providers
14
Avg Cost/Claim
$39
National Cost Distribution
How much do providers bill per claim for A4500? Based on 14 providers billing this code nationally.
Median
$33.49
Average
$42.15
Std Dev
$42.36
Max
$180.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.94 and $45.57 per claim for this code.
90% bill between $13.63 and $53.26.
Top 1% bill above $164.46.
About This Procedure
HCPCS code A4500 was billed by 14 providers across 13K claims, totaling $513K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$33.49
Providers Billing
14
National Spending
$513K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4500
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043215106 | $299K |
| 2 | 1053303016 | $122K |
| 3 | 1629072665 | $40K |
| 4 | 1144498817 | $14K |
| 5 | 1265565758 | $12K |
| 6 | 1407940315 | $9K |
| 7 | 1932324621 | $6K |
| 8 | 1780667303 | $6K |
| 9 | 1659365849 | $2K |
| 10 | 1831207521 | $1K |
| 11 | 1205837879 | $1K |
| 12 | 1932114543 | $570 |
| 13 | 1912017906 | $212 |
| 14 | 1538172499 | $197 |
Showing top 14 of 14 providers billing this code