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#5506 of 11K

A4210

HCPCS Procedure Code

HCPCS code A4210 is the #5,506 most-billed Medicaid procedure code, with $185K in payments across 37K claims from 2018–2024. The national median cost per claim is $3.60. Costs vary widely — the 90th percentile is $12.88 per claim, 3.6× the median.

Total Paid

$185K

0.00% of all spending

Total Claims

37K

Providers

21

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for A4210? Based on 19 providers billing this code nationally.

Median

$3.60

Average

$6.43

Std Dev

$11.20

Max

$48.59

Percentile Distribution (Cost per Claim)

p10
$0.08
p25
$0.45
Median
$3.60
p75
$7.49
p90
$12.88
p95
$19.03
p99
$42.68

50% of providers bill between $0.45 and $7.49 per claim for this code.

90% bill between $0.08 and $12.88.

Top 1% bill above $42.68.

About This Procedure

HCPCS code A4210 was billed by 21 providers across 37K claims, totaling $185K in Medicaid payments from 2018–2024. This code was used for 27K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.60

Providers Billing

19

National Spending

$185K

Avg/Median Ratio

1.79×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4210

#ProviderTotal Paid
11861480048$89K
21306961792$66K
31376725614$16K
41942291463$5K
51801911540$4K
61902863434$1K
71639127079$1K
8Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$819
91245277623$529
101831561091$388
111538668843$263
121790730612$223
131780734871$150
141326077199$133
151962462382$12
161083778898$11
171659431443$8
181609370246$7
191851328157$4
201831203488$0

Showing top 20 of 21 providers billing this code