A4557
HCPCS Procedure Code
HCPCS code A4557 is the #3,568 most-billed Medicaid procedure code, with $1.5M in payments across 155K claims from 2018–2024. The national median cost per claim is $8.97. Costs vary widely — the 90th percentile is $29.82 per claim, 3.3× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
155K
Providers
81
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for A4557? Based on 68 providers billing this code nationally.
Median
$8.97
Average
$14.93
Std Dev
$17.76
Max
$111.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.80 and $17.85 per claim for this code.
90% bill between $1.66 and $29.82.
Top 1% bill above $93.14.
About This Procedure
HCPCS code A4557 was billed by 81 providers across 155K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 130K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.97
Providers Billing
68
National Spending
$1.5M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4557
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124336722 | $435K |
| 2 | 1770511552 | $307K |
| 3 | 1154436962 | $263K |
| 4 | 1336446004 | $63K |
| 5 | 1629167028 | $60K |
| 6 | 1760513923 | $57K |
| 7 | 1598762874 | $37K |
| 8 | 1043598634 | $33K |
| 9 | 1508297854 | $26K |
| 10 | 1962579177 | $24K |
| 11 | 1285025973 | $20K |
| 12 | 1538668843 | $13K |
| 13 | 1972553162 | $12K |
| 14 | 1659765204 | $12K |
| 15 | 1437196557 | $12K |
| 16 | 1265422596 | $9K |
| 17 | 1356321418 | $8K |
| 18 | 1770096372 | $8K |
| 19 | 1932537941 | $6K |
| 20 | 1770127540 | $6K |
Showing top 20 of 81 providers billing this code