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#3381 of 11K

A4630

HCPCS Procedure Code

HCPCS code A4630 is the #3,381 most-billed Medicaid procedure code, with $1.8M in payments across 254K claims from 2018–2024. The national median cost per claim is $2.73. Costs vary widely — the 90th percentile is $7.36 per claim, 2.7× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

254K

Providers

21

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for A4630? Based on 18 providers billing this code nationally.

Median

$2.73

Average

$7.71

Std Dev

$19.62

Max

$85.86

Percentile Distribution (Cost per Claim)

p10
$0.56
p25
$1.96
Median
$2.73
p75
$4.47
p90
$7.36
p95
$19.62
p99
$72.61

50% of providers bill between $1.96 and $4.47 per claim for this code.

90% bill between $0.56 and $7.36.

Top 1% bill above $72.61.

About This Procedure

HCPCS code A4630 was billed by 21 providers across 254K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 206K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.73

Providers Billing

18

National Spending

$1.8M

Avg/Median Ratio

2.82×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4630

#ProviderTotal Paid
11770511552$1.6M
21629167028$106K
31124336722$73K
41932537941$54K
5Integra Partners Llc

Troy, MI · Orthotic Fitter

$6K
61285025973$5K
71780667824$4K
81437196557$3K
91306849229$1K
101780902940$791
111093999039$562
121689750564$142
131962851378$101
141932332764$100
151154436962$58
161447712518$57
171942238514$32
181164923298$18
191558740282$0
201386957983$0

Showing top 20 of 21 providers billing this code