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#3469 of 11K

B4199

HCPCS Procedure Code

HCPCS code B4199 is the #3,469 most-billed Medicaid procedure code, with $1.6M in payments across 6K claims from 2018–2024. The national median cost per claim is $810.01.

Total Paid

$1.6M

0.00% of all spending

Total Claims

6K

Providers

8

Avg Cost/Claim

$272

National Cost Distribution

How much do providers bill per claim for B4199? Based on 8 providers billing this code nationally.

Median

$810.01

Average

$829.05

Std Dev

$575.87

Max

$1,984.20

Percentile Distribution (Cost per Claim)

p10
$225.54
p25
$425.07
Median
$810.01
p75
$1,023.94
p90
$1,378.85
p95
$1,681.52
p99
$1,923.66

50% of providers bill between $425.07 and $1,023.94 per claim for this code.

90% bill between $225.54 and $1,378.85.

Top 1% bill above $1,923.66.

About This Procedure

HCPCS code B4199 was billed by 8 providers across 6K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 725 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$810.01

Providers Billing

8

National Spending

$1.6M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4199

#ProviderTotal Paid
11770528994$755K
21417978479$354K
31457381782$233K
41811085103$109K
51780187237$70K
61417472812$49K
71881727998$47K
81396852000$22K

Showing top 8 of 8 providers billing this code