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#9098 of 11K

4035F

HCPCS Procedure Code

HCPCS code 4035F is the #9,098 most-billed Medicaid procedure code, with $406 in payments across 236K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.44 per claim, 44.0× the median.

Total Paid

$406

0.00% of all spending

Total Claims

236K

Providers

228

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4035F? Based on 12 providers billing this code nationally.

Median

$0.01

Average

$0.17

Std Dev

$0.36

Max

$1.22

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.11
p90
$0.44
p95
$0.80
p99
$1.14

50% of providers bill between $0.00 and $0.11 per claim for this code.

90% bill between $0.00 and $0.44.

Top 1% bill above $1.14.

About This Procedure

HCPCS code 4035F was billed by 228 providers across 236K claims, totaling $406 in Medicaid payments from 2018–2024. This code was used for 199K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

12

National Spending

$406

Avg/Median Ratio

17.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 4035F

#ProviderTotal Paid
11700886322$301
21083079289$50
31255752853$20
41851562367$16
51063411874$10
61982159679$7
71447739149$2
81710415492$0
91912450818$0
101033415294$0
111548404833$0
121578653937$0
131811281488$0
141780798066$0
151417983958$0
161972509842$0
171043260813$0
181629219514$0
191437375953$0
201124122452$0

Showing top 20 of 228 providers billing this code