A4641
HCPCS Procedure Code
HCPCS code A4641 is the #5,633 most-billed Medicaid procedure code, with $164K in payments across 3K claims from 2018–2024. The national median cost per claim is $22.62. Costs vary widely — the 90th percentile is $102.26 per claim, 4.5× the median.
Total Paid
$164K
0.00% of all spending
Total Claims
3K
Providers
13
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for A4641? Based on 6 providers billing this code nationally.
Median
$22.62
Average
$43.53
Std Dev
$62.06
Max
$167.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.18 and $35.23 per claim for this code.
90% bill between $5.72 and $102.26.
Top 1% bill above $161.00.
About This Procedure
HCPCS code A4641 was billed by 13 providers across 3K claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.62
Providers Billing
6
National Spending
$164K
Avg/Median Ratio
1.92×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4641
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710491253 | $139K |
| 2 | 1467440743 | $10K |
| 3 | 1386619450 | $5K |
| 4 | 1093740128 | $5K |
| 5 | 1750435905 | $4K |
| 6 | 1760443980 | $1K |
| 7 | 1811080526 | $0 |
| 8 | 1811939887 | $0 |
| 9 | 1851361778 | $0 |
| 10 | 1427064310 | $0 |
| 11 | 1134183171 | $0 |
| 12 | 1336478163 | $0 |
| 13 | Mercy Health - St Vincent Medical Center Llc Toledo, OH · Ambulance, Land Transport | $0 |
Showing top 13 of 13 providers billing this code