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#7688 of 11K

A4262

HCPCS Procedure Code

HCPCS code A4262 is the #7,688 most-billed Medicaid procedure code, with $12K in payments across 11K claims from 2018–2024. The national median cost per claim is $0.30. Costs vary widely — the 90th percentile is $8.17 per claim, 27.2× the median.

Total Paid

$12K

0.00% of all spending

Total Claims

11K

Providers

22

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for A4262? Based on 9 providers billing this code nationally.

Median

$0.30

Average

$4.30

Std Dev

$11.75

Max

$35.61

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.06
Median
$0.30
p75
$0.76
p90
$8.17
p95
$21.89
p99
$32.86

50% of providers bill between $0.06 and $0.76 per claim for this code.

90% bill between $0.03 and $8.17.

Top 1% bill above $32.86.

About This Procedure

HCPCS code A4262 was billed by 22 providers across 11K claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.30

Providers Billing

9

National Spending

$12K

Avg/Median Ratio

14.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4262

#ProviderTotal Paid
11245629369$10K
21841368925$1K
31396820007$549
41609205731$76
51255314191$59
61669540688$26
71952653131$16
81386872265$11
91326674813$5
101639101751$0
111467075721$0
121407828379$0
131164435780$0
141508949603$0
151518231885$0
161356860811$0
171942341466$0
181487843280$0
191659361848$0
201649306218$0

Showing top 20 of 22 providers billing this code