A4595
HCPCS Procedure Code
HCPCS code A4595 is the #1,153 most-billed Medicaid procedure code, with $36.6M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $17.27. Costs vary widely — the 90th percentile is $47.86 per claim, 2.8× the median.
Total Paid
$36.6M
0.00% of all spending
Total Claims
1.4M
Providers
203
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for A4595? Based on 193 providers billing this code nationally.
Median
$17.27
Average
$23.63
Std Dev
$26.44
Max
$269.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.70 and $29.87 per claim for this code.
90% bill between $3.42 and $47.86.
Top 1% bill above $96.30.
About This Procedure
HCPCS code A4595 was billed by 203 providers across 1.4M claims, totaling $36.6M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.27
Providers Billing
193
National Spending
$36.6M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4595
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194717520 | $7.5M |
| 2 | 1184716672 | $6.4M |
| 3 | 1770511552 | $3.4M |
| 4 | 1578882718 | $3.1M |
| 5 | 1154436962 | $2.9M |
| 6 | 1629167028 | $1.8M |
| 7 | 1043598634 | $1.7M |
| 8 | 1598762874 | $1.4M |
| 9 | 1003058637 | $1.2M |
| 10 | 1336446004 | $1.1M |
| 11 | 1780667824 | $739K |
| 12 | 1124336722 | $579K |
| 13 | 1497753214 | $224K |
| 14 | 1619113800 | $209K |
| 15 | 1417485889 | $203K |
| 16 | 1164586103 | $195K |
| 17 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $179K |
| 18 | 1003126848 | $166K |
| 19 | 1508297854 | $150K |
| 20 | 1841291200 | $140K |
Showing top 20 of 203 providers billing this code