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#6347 of 11K

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)

p10
$0.10
p25
$0.50
Median
$1.50
p75
$3.25
p90
$4.84
p95
$5.39
p99
$7.71

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

#ProviderTotal Paid
11295211126$22K
21023721065$13K
31710906821$9K
41588389944$6K
51780667824$5K
61538137401$5K
71386759355$5K
81730204827$2K
91437412798$1K
101609850296$1K
111396985222$1K
121538103825$381
131205841798$348
141154571222$308
151013119767$202
161457377079$159
171255741765$128
181235875576$108
191477513992$83
201386238590$76

Showing top 20 of 34 providers billing this code