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#8489 of 11K

A4602

HCPCS Procedure Code

HCPCS code A4602 is the #8,489 most-billed Medicaid procedure code, with $3K in payments across 733 claims from 2018–2024. The national median cost per claim is $3.86. Costs vary widely — the 90th percentile is $9.10 per claim, 2.4× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

733

Providers

4

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for A4602? Based on 4 providers billing this code nationally.

Median

$3.86

Average

$4.70

Std Dev

$4.64

Max

$11.05

Percentile Distribution (Cost per Claim)

p10
$0.96
p25
$2.39
Median
$3.86
p75
$6.17
p90
$9.10
p95
$10.07
p99
$10.86

50% of providers bill between $2.39 and $6.17 per claim for this code.

90% bill between $0.96 and $9.10.

Top 1% bill above $10.86.

About This Procedure

HCPCS code A4602 was billed by 4 providers across 733 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 560 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.86

Providers Billing

4

National Spending

$3K

Avg/Median Ratio

1.22×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.