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#9084 of 11K

4551F

HCPCS Procedure Code

HCPCS code 4551F is the #9,084 most-billed Medicaid procedure code, with $426 in payments across 46K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $2.98 per claim, 298.0× the median.

Total Paid

$426

0.00% of all spending

Total Claims

46K

Providers

67

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 4551F? Based on 4 providers billing this code nationally.

Median

$0.01

Average

$1.07

Std Dev

$2.12

Max

$4.25

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$1.07
p90
$2.98
p95
$3.61
p99
$4.12

50% of providers bill between $0.00 and $1.07 per claim for this code.

90% bill between $0.00 and $2.98.

Top 1% bill above $4.12.

About This Procedure

HCPCS code 4551F was billed by 67 providers across 46K claims, totaling $426 in Medicaid payments from 2018–2024. This code was used for 42K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

4

National Spending

$426

Avg/Median Ratio

107.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 4551F

#ProviderTotal Paid
11336135821$412
21295145704$14
31437235793$0
41770604688$0
51477538239$0
61841527355$0
71083624423$0
81114545241$0
91699334748$0
101831575190$0
111609244490$0
121336171040$0
131871680397$0
141174561013$0
151023573805$0
161538130893$0
171548772957$0
181932645819$0
191548515091$0
201568488849$0

Showing top 20 of 67 providers billing this code