A4558
HCPCS Procedure Code
HCPCS code A4558 is the #6,347 most-billed Medicaid procedure code, with $72K in payments across 40K claims from 2018–2024. The national median cost per claim is $1.50. Costs vary widely — the 90th percentile is $4.84 per claim, 3.2× the median.
Total Paid
$72K
0.00% of all spending
Total Claims
40K
Providers
34
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for A4558? Based on 27 providers billing this code nationally.
Median
$1.50
Average
$2.16
Std Dev
$2.12
Max
$8.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.50 and $3.25 per claim for this code.
90% bill between $0.10 and $4.84.
Top 1% bill above $7.71.
About This Procedure
HCPCS code A4558 was billed by 34 providers across 40K claims, totaling $72K in Medicaid payments from 2018–2024. This code was used for 28K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.50
Providers Billing
27
National Spending
$72K
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4558
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295211126 | $22K |
| 2 | 1023721065 | $13K |
| 3 | 1710906821 | $9K |
| 4 | 1588389944 | $6K |
| 5 | 1780667824 | $5K |
| 6 | 1538137401 | $5K |
| 7 | 1386759355 | $5K |
| 8 | 1730204827 | $2K |
| 9 | 1437412798 | $1K |
| 10 | 1609850296 | $1K |
| 11 | 1396985222 | $1K |
| 12 | 1538103825 | $381 |
| 13 | 1205841798 | $348 |
| 14 | 1154571222 | $308 |
| 15 | 1013119767 | $202 |
| 16 | 1457377079 | $159 |
| 17 | 1255741765 | $128 |
| 18 | 1235875576 | $108 |
| 19 | 1477513992 | $83 |
| 20 | 1386238590 | $76 |
Showing top 20 of 34 providers billing this code