A4220
Refill kit for implantable drug infusion pump
Refill kit for implantable drug infusion pump is the #6,069 most-billed Medicaid procedure code, with $99K in payments across 11K claims from 2018–2024. The national median cost per claim is $7.24. Costs vary widely — the 90th percentile is $26.53 per claim, 3.7× the median.
Total Paid
$99K
0.00% of all spending
Total Claims
11K
Providers
14
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for A4220? Based on 6 providers billing this code nationally.
Median
$7.24
Average
$11.47
Std Dev
$13.75
Max
$37.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.51 and $13.80 per claim for this code.
90% bill between $0.65 and $26.53.
Top 1% bill above $36.02.
About This Procedure
HCPCS code A4220 (Refill kit for implantable drug infusion pump) was billed by 14 providers across 11K claims, totaling $99K in Medicaid payments from 2018–2024. This code was used for 8,058 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.24
Providers Billing
6
National Spending
$99K
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4220
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770528994 | $67K |
| 2 | 1992978365 | $27K |
| 3 | 1235215427 | $4K |
| 4 | 1487787909 | $623 |
| 5 | 1255729794 | $158 |
| 6 | 1114372653 | $40 |
| 7 | 1477571891 | $0 |
| 8 | 1114908845 | $0 |
| 9 | 1063493617 | $0 |
| 10 | 1831148410 | $0 |
| 11 | 1992271811 | $0 |
| 12 | 1942378112 | $0 |
| 13 | 1942310990 | $0 |
| 14 | 1790730638 | $0 |
Showing top 14 of 14 providers billing this code