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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1861480048 | $89K |
| 2 | 1306961792 | $66K |
| 3 | 1376725614 | $16K |
| 4 | 1942291463 | $5K |
| 5 | 1801911540 | $4K |
| 6 | 1902863434 | $1K |
| 7 | 1639127079 | $1K |
| 8 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $819 |
| 9 | 1245277623 | $529 |
| 10 | 1831561091 | $388 |
| 11 | 1538668843 | $263 |
| 12 | 1790730612 | $223 |
| 13 | 1780734871 | $150 |
| 14 | 1326077199 | $133 |
| 15 | 1962462382 | $12 |
| 16 | 1083778898 | $11 |
| 17 | 1659431443 | $8 |
| 18 | 1609370246 | $7 |
| 19 | 1851328157 | $4 |
| 20 | 1831203488 | $0 |
Showing top 20 of 21 providers billing this code