4004F
HCPCS Procedure Code
HCPCS code 4004F is the #5,313 most-billed Medicaid procedure code, with $231K in payments across 3.3M claims from 2018–2024. The national median cost per claim is $0.02. Costs vary widely — the 90th percentile is $9.03 per claim, 451.5× the median.
Total Paid
$231K
0.00% of all spending
Total Claims
3.3M
Providers
2,550
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 4004F? Based on 204 providers billing this code nationally.
Median
$0.02
Average
$3.03
Std Dev
$8.69
Max
$53.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.33 per claim for this code.
90% bill between $0.00 and $9.03.
Top 1% bill above $41.11.
About This Procedure
HCPCS code 4004F was billed by 2,550 providers across 3.3M claims, totaling $231K in Medicaid payments from 2018–2024. This code was used for 2.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.02
Providers Billing
204
National Spending
$231K
Avg/Median Ratio
151.50×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 4004F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669708756 | $67K |
| 2 | 1336185164 | $43K |
| 3 | 1407031446 | $15K |
| 4 | 1023561248 | $13K |
| 5 | 1548728553 | $13K |
| 6 | 1730136680 | $7K |
| 7 | 1336148931 | $7K |
| 8 | 1518303288 | $6K |
| 9 | 1770697278 | $6K |
| 10 | 1467439463 | $5K |
| 11 | 1568794279 | $3K |
| 12 | 1598853889 | $3K |
| 13 | 1760689715 | $3K |
| 14 | 1487867206 | $3K |
| 15 | 1114060969 | $3K |
| 16 | 1588089759 | $3K |
| 17 | 1114342243 | $2K |
| 18 | 1306944335 | $2K |
| 19 | 1225122963 | $2K |
| 20 | 1134543457 | $2K |
Showing top 20 of 2,550 providers billing this code