Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4969 of 11K

4124F

HCPCS Procedure Code

HCPCS code 4124F is the #4,969 most-billed Medicaid procedure code, with $335K in payments across 65K claims from 2018–2024. The national median cost per claim is $14.87.

Total Paid

$335K

0.00% of all spending

Total Claims

65K

Providers

98

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 4124F? Based on 30 providers billing this code nationally.

Median

$14.87

Average

$16.13

Std Dev

$16.51

Max

$84.58

Percentile Distribution (Cost per Claim)

p10
$2.00
p25
$8.63
Median
$14.87
p75
$17.83
p90
$23.79
p95
$43.29
p99
$74.55

50% of providers bill between $8.63 and $17.83 per claim for this code.

90% bill between $2.00 and $23.79.

Top 1% bill above $74.55.

About This Procedure

HCPCS code 4124F was billed by 98 providers across 65K claims, totaling $335K in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.87

Providers Billing

30

National Spending

$335K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 4124F

#ProviderTotal Paid
11245211309$153K
21710024955$39K
31447346408$23K
41023182714$13K
51215067475$12K
61396905055$12K
71033204888$12K
81134204969$9K
91467454967$8K
101902855828$8K
111396972360$7K
121134160799$7K
131770697278$5K
141003568098$5K
151255437166$5K
161629054440$5K
171528134137$2K
181790986032$2K
191235151101$2K
201174994826$2K

Showing top 20 of 98 providers billing this code