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#5871 of 11K

4322F

HCPCS Procedure Code

HCPCS code 4322F is the #5,871 most-billed Medicaid procedure code, with $126K in payments across 203K claims from 2018–2024. The national median cost per claim is $0.14. Costs vary widely — the 90th percentile is $0.55 per claim, 3.9× the median.

Total Paid

$126K

0.00% of all spending

Total Claims

203K

Providers

56

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 4322F? Based on 3 providers billing this code nationally.

Median

$0.14

Average

$0.26

Std Dev

$0.35

Max

$0.66

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.07
Median
$0.14
p75
$0.40
p90
$0.55
p95
$0.60
p99
$0.65

50% of providers bill between $0.07 and $0.40 per claim for this code.

90% bill between $0.03 and $0.55.

Top 1% bill above $0.65.

About This Procedure

HCPCS code 4322F was billed by 56 providers across 203K claims, totaling $126K in Medicaid payments from 2018–2024. This code was used for 152K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.14

Providers Billing

3

National Spending

$126K

Avg/Median Ratio

1.86×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 4322F

#ProviderTotal Paid
11588689483$126K
21265604763$11
31063554566$0
41659724623$0
51386071678$0
61396286365$0
71437820461$0
81083468912$0
91225766793$0
101396107561$0
111740658855$0
121851628242$0
131578968558$0
141447912647$0
151710576590$0
161689731432$0
171306210505$0
181992791818$0
191477006534$0
201568914158$0

Showing top 20 of 56 providers billing this code

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