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#6084 of 11K

4701Y

HCPCS Procedure Code

HCPCS code 4701Y is the #6,084 most-billed Medicaid procedure code, with $97K in payments across 5,980 claims from 2018–2024. The national median cost per claim is $16.77.

Total Paid

$97K

0.00% of all spending

Total Claims

5,980

Providers

12

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 4701Y? Based on 12 providers billing this code nationally.

Median

$16.77

Average

$16.17

Std Dev

$3.27

Max

$22.48

Percentile Distribution (Cost per Claim)

p10
$11.72
p25
$13.90
Median
$16.77
p75
$17.78
p90
$19.25
p95
$20.75
p99
$22.13

50% of providers bill between $13.90 and $17.78 per claim for this code.

90% bill between $11.72 and $19.25.

Top 1% bill above $22.13.

About This Procedure

HCPCS code 4701Y was billed by 12 providers across 5,980 claims, totaling $97K in Medicaid payments from 2018–2024. This code was used for 4,701 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.77

Providers Billing

12

National Spending

$97K

Avg/Median Ratio

0.96×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 4701Y

#ProviderTotal Paid
11790335834$24K
21518060334$22K
31194842781$15K
41972518694$13K
51790844785$8K
61063529741$6K
71700985348$4K
81780790501$2K
91487837241$1K
101073534335$1K
111194439729$1K
121558508879$253

Showing top 12 of 12 providers billing this code