A4566
HCPCS Procedure Code
HCPCS code A4566 is the #6,900 most-billed Medicaid procedure code, with $37K in payments across 4K claims from 2018–2024. The national median cost per claim is $3.97. Costs vary widely — the 90th percentile is $10.82 per claim, 2.7× the median.
Total Paid
$37K
0.00% of all spending
Total Claims
4K
Providers
8
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for A4566? Based on 5 providers billing this code nationally.
Median
$3.97
Average
$4.83
Std Dev
$5.86
Max
$14.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.29 and $5.32 per claim for this code.
90% bill between $0.16 and $10.82.
Top 1% bill above $14.11.
About This Procedure
HCPCS code A4566 was billed by 8 providers across 4K claims, totaling $37K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.97
Providers Billing
5
National Spending
$37K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4566
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1245237643 | $37K |
| 2 | 1811952039 | $580 |
| 3 | 1669532248 | $62 |
| 4 | 1326048893 | $52 |
| 5 | 1053440321 | $47 |
| 6 | Mnr Industries Llc Bel Air, MD · Clinic/Center Urgent Care | $0 |
| 7 | 1982932463 | $0 |
| 8 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $0 |
Showing top 8 of 8 providers billing this code