4255F
HCPCS Procedure Code
HCPCS code 4255F is the #5,624 most-billed Medicaid procedure code, with $166K in payments across 98K claims from 2018–2024. The national median cost per claim is $0.56. Costs vary widely — the 90th percentile is $24.08 per claim, 43.0× the median.
Total Paid
$166K
0.00% of all spending
Total Claims
98K
Providers
52
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 4255F? Based on 7 providers billing this code nationally.
Median
$0.56
Average
$8.28
Std Dev
$17.74
Max
$47.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.01 and $4.71 per claim for this code.
90% bill between $0.00 and $24.08.
Top 1% bill above $45.57.
About This Procedure
HCPCS code 4255F was billed by 52 providers across 98K claims, totaling $166K in Medicaid payments from 2018–2024. This code was used for 81K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.56
Providers Billing
7
National Spending
$166K
Avg/Median Ratio
14.79×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 4255F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1720024235 | $146K |
| 2 | 1518916154 | $19K |
| 3 | 1811997869 | $913 |
| 4 | 1811442874 | $345 |
| 5 | 1164438578 | $84 |
| 6 | 1427076553 | $1 |
| 7 | 1720166002 | $0 |
| 8 | 1104825108 | $0 |
| 9 | 1477553311 | $0 |
| 10 | 1972503803 | $0 |
| 11 | 1588954259 | $0 |
| 12 | 1457420580 | $0 |
| 13 | 1184069874 | $0 |
| 14 | 1649228966 | $0 |
| 15 | 1821007485 | $0 |
| 16 | 1063742716 | $0 |
| 17 | 1255622247 | $0 |
| 18 | 1225074362 | $0 |
| 19 | 1164694782 | $0 |
| 20 | 1487677845 | $0 |
Showing top 20 of 52 providers billing this code