#1295 of 11K

B4224

HCPCS Procedure Code

HCPCS code B4224 is the #1,295 most-billed Medicaid procedure code, with $28.6M in payments across 517K claims from 2018–2024. The national median cost per claim is $78.83.

Total Paid

$28.6M

0.00% of all spending

Total Claims

517K

Providers

103

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for B4224? Based on 102 providers billing this code nationally.

Median

$78.83

Average

$86.94

Std Dev

$66.68

Max

$497.25

Percentile Distribution (Cost per Claim)

p10

$22.66

p25

$40.67

Median

$78.83

p75

$113.35

p90

$150.48

p95

$190.59

p99

$244.32

50% of providers bill between $40.67 and $113.35 per claim for this code.

90% bill between $22.66 and $150.48.

Top 1% bill above $244.32.

About This Procedure

HCPCS code B4224 was billed by 103 providers across 517K claims, totaling $28.6M in Medicaid payments from 2018–2024. This code was used for 78K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.83

Providers Billing

102

National Spending

$28.6M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4224

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1346270527	$2.8M	$44.30	0.6× median	Below Median
2	Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$1.6M	$66.42	0.8× median	Below Median
3	1760425011	$1.5M	$231.20	2.9× median	Top 10%
4	1912930736	$1.3M	$69.09	0.9× median	Below Median
5	1326096629	$1.1M	$162.05	2.1× median	Top 10%
6	1770528994	$1.1M	$12.63	0.2× median	Below Median
7	1417978479	$954K	$22.56	0.3× median	Below Median
8	1750686432	$928K	$107.42	1.4× median	Above Median
9	1629174214	$902K	$132.50	1.7× median	Above 75th
10	1457395394	$881K	$64.01	0.8× median	Below Median
11	1083775621	$877K	$101.02	1.3× median	Above Median
12	Optum Infusion Services 308 Llc Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy	$805K	$181.21	2.3× median	Top 10%
13	1750396461	$782K	$96.55	1.2× median	Above Median
14	1619316981	$734K	$122.47	1.6× median	Above 75th
15	1285687749	$706K	$119.52	1.5× median	Above 75th
16	1609899590	$703K	$80.83	1.0× median	Above Median
17	1891703575	$703K	$34.60	0.4× median	Below Median
18	1457872632	$701K	$191.08	2.4× median	Top 10%
19	1750517108	$644K	$104.55	1.3× median	Above Median
20	1811085103	$637K	$134.46	1.7× median	Above 75th

Showing top 20 of 103 providers billing this code

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