A4248
HCPCS Procedure Code
HCPCS code A4248 is the #5,342 most-billed Medicaid procedure code, with $225K in payments across 51K claims from 2018–2024. The national median cost per claim is $2.10. Costs vary widely — the 90th percentile is $24.18 per claim, 11.5× the median.
Total Paid
$225K
0.00% of all spending
Total Claims
51K
Providers
29
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for A4248? Based on 24 providers billing this code nationally.
Median
$2.10
Average
$8.08
Std Dev
$17.01
Max
$75.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.14 and $5.20 per claim for this code.
90% bill between $0.05 and $24.18.
Top 1% bill above $66.37.
About This Procedure
HCPCS code A4248 was billed by 29 providers across 51K claims, totaling $225K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.10
Providers Billing
24
National Spending
$225K
Avg/Median Ratio
3.85×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4248
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275637324 | $86K |
| 2 | 1699853713 | $61K |
| 3 | 1407864374 | $31K |
| 4 | 1386049070 | $21K |
| 5 | 1275612673 | $10K |
| 6 | 1548393127 | $6K |
| 7 | 1801866173 | $3K |
| 8 | 1114037942 | $2K |
| 9 | 1457310492 | $1K |
| 10 | 1154462026 | $801 |
| 11 | 1457602294 | $468 |
| 12 | 1225204050 | $266 |
| 13 | 1801877436 | $233 |
| 14 | 1255729794 | $186 |
| 15 | 1760945471 | $150 |
| 16 | 1518539048 | $135 |
| 17 | 1275736829 | $39 |
| 18 | 1255325338 | $38 |
| 19 | 1750305355 | $20 |
| 20 | 1144249657 | $17 |
Showing top 20 of 29 providers billing this code