A4208
HCPCS Procedure Code
HCPCS code A4208 is the #4,704 most-billed Medicaid procedure code, with $441K in payments across 159K claims from 2018–2024. The national median cost per claim is $0.12. Costs vary widely — the 90th percentile is $4.29 per claim, 35.8× the median.
Total Paid
$441K
0.00% of all spending
Total Claims
159K
Providers
150
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for A4208? Based on 111 providers billing this code nationally.
Median
$0.12
Average
$4.73
Std Dev
$23.90
Max
$188.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.02 and $0.57 per claim for this code.
90% bill between $0.00 and $4.29.
Top 1% bill above $121.83.
About This Procedure
HCPCS code A4208 was billed by 150 providers across 159K claims, totaling $441K in Medicaid payments from 2018–2024. This code was used for 124K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.12
Providers Billing
111
National Spending
$441K
Avg/Median Ratio
39.42×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4208
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730221599 | $273K |
| 2 | 1114923075 | $43K |
| 3 | 1134120462 | $29K |
| 4 | 1457348807 | $19K |
| 5 | 1588976815 | $14K |
| 6 | 1497389845 | $11K |
| 7 | 1902829500 | $10K |
| 8 | 1629507579 | $7K |
| 9 | 1578868774 | $5K |
| 10 | 1851317218 | $4K |
| 11 | 1013913458 | $4K |
| 12 | 1275637324 | $3K |
| 13 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $2K |
| 14 | 1619298536 | $2K |
| 15 | 1043480593 | $2K |
| 16 | 1609884733 | $2K |
| 17 | 1023175239 | $2K |
| 18 | 1831241033 | $1K |
| 19 | 1558394312 | $1K |
| 20 | 1376599308 | $1K |
Showing top 20 of 150 providers billing this code