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#1354 of 11K

A4217

Sterile water or saline for nebulizer, per unit

Sterile water or saline for nebulizer, per unit is the #1,354 most-billed Medicaid procedure code, with $25.9M in payments across 882K claims from 2018–2024. The national median cost per claim is $13.14. Costs vary widely — the 90th percentile is $64.81 per claim, 4.9× the median.

Total Paid

$25.9M

0.00% of all spending

Total Claims

882K

Providers

595

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for A4217? Based on 539 providers billing this code nationally.

Median

$13.14

Average

$24.68

Std Dev

$31.23

Max

$214.84

Percentile Distribution (Cost per Claim)

p10
$1.01
p25
$5.08
Median
$13.14
p75
$33.06
p90
$64.81
p95
$84.79
p99
$147.58

50% of providers bill between $5.08 and $33.06 per claim for this code.

90% bill between $1.01 and $64.81.

Top 1% bill above $147.58.

About This Procedure

HCPCS code A4217 (Sterile water or saline for nebulizer, per unit) was billed by 595 providers across 882K claims, totaling $25.9M in Medicaid payments from 2018–2024. This code was used for 730K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.14

Providers Billing

539

National Spending

$25.9M

Avg/Median Ratio

1.88×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4217

#ProviderTotal Paid
1Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$3.9M
21871738153$1.7M
31538128293$783K
41639231483$746K
51659359446$667K
6Los Ninos Hospital Inc

Phoenix, AZ · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$572K
71750338851$485K
81710978390$433K
91306961792$425K
101861480048$370K
111619909496$360K
12Home Medical Equipment Specialists Llc

Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies

$336K
13H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$309K
141770539603$303K
151508885617$302K
161811990302$285K
171326274655$284K
181942291463$276K
191386688414$269K
201770581498$263K

Showing top 20 of 595 providers billing this code