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#1072 of 11K

B4185

HCPCS Procedure Code

HCPCS code B4185 is the #1,072 most-billed Medicaid procedure code, with $43.3M in payments across 306K claims from 2018–2024. The national median cost per claim is $134.70.

Total Paid

$43.3M

0.00% of all spending

Total Claims

306K

Providers

126

Avg Cost/Claim

$141

National Cost Distribution

How much do providers bill per claim for B4185? Based on 124 providers billing this code nationally.

Median

$134.70

Average

$144.48

Std Dev

$82.73

Max

$448.59

Percentile Distribution (Cost per Claim)

p10
$57.19
p25
$80.11
Median
$134.70
p75
$186.87
p90
$239.75
p95
$295.68
p99
$400.25

50% of providers bill between $80.11 and $186.87 per claim for this code.

90% bill between $57.19 and $239.75.

Top 1% bill above $400.25.

About This Procedure

HCPCS code B4185 was billed by 126 providers across 306K claims, totaling $43.3M in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$134.70

Providers Billing

124

National Spending

$43.3M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4185

#ProviderTotal Paid
11891703575$2.5M
21952440604$2.1M
31912930736$1.9M
4Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$1.8M
51184653388$1.5M
61902182637$1.4M
71417472812$1.4M
81396852000$1.3M
91326096629$1.3M
101518036458$1.3M
111629174214$1.2M
121841350527$1.2M
131114099488$1.2M
141811085103$1.1M
151457395394$1.1M
161457872632$1.0M
171285687749$1.0M
181881727998$894K
191619316981$860K
201326279746$848K

Showing top 20 of 126 providers billing this code