B4216
HCPCS Procedure Code
HCPCS code B4216 is the #6,478 most-billed Medicaid procedure code, with $62K in payments across 1K claims from 2018–2024. The national median cost per claim is $59.42.
Total Paid
$62K
0.00% of all spending
Total Claims
1K
Providers
3
Avg Cost/Claim
$59
National Cost Distribution
How much do providers bill per claim for B4216? Based on 3 providers billing this code nationally.
Median
$59.42
Average
$53.44
Std Dev
$13.13
Max
$62.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.90 and $60.96 per claim for this code.
90% bill between $42.59 and $61.89.
Top 1% bill above $62.44.
About This Procedure
HCPCS code B4216 was billed by 3 providers across 1K claims, totaling $62K in Medicaid payments from 2018–2024. This code was used for 492 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.42
Providers Billing
3
National Spending
$62K
Avg/Median Ratio
0.90×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.