A4269
HCPCS Procedure Code
HCPCS code A4269 is the #5,515 most-billed Medicaid procedure code, with $183K in payments across 6K claims from 2018–2024. The national median cost per claim is $7.36. Costs vary widely — the 90th percentile is $150.63 per claim, 20.5× the median.
Total Paid
$183K
0.00% of all spending
Total Claims
6K
Providers
21
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for A4269? Based on 20 providers billing this code nationally.
Median
$7.36
Average
$39.02
Std Dev
$66.28
Max
$206.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.42 and $13.79 per claim for this code.
90% bill between $3.98 and $150.63.
Top 1% bill above $199.84.
About This Procedure
HCPCS code A4269 was billed by 21 providers across 6K claims, totaling $183K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.36
Providers Billing
20
National Spending
$183K
Avg/Median Ratio
5.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4269
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1770500027 | $42K |
| 2 | 1669499026 | $41K |
| 3 | 1396762753 | $31K |
| 4 | 1821015280 | $26K |
| 5 | 1588738389 | $19K |
| 6 | 1982777256 | $7K |
| 7 | 1235206418 | $5K |
| 8 | 1932517067 | $3K |
| 9 | 1437226172 | $3K |
| 10 | 1144397324 | $2K |
| 11 | 1346434768 | $1K |
| 12 | 1245424456 | $1K |
| 13 | 1083700686 | $839 |
| 14 | 1477708469 | $686 |
| 15 | 1497863229 | $564 |
| 16 | 1023116811 | $322 |
| 17 | 1497822779 | $290 |
| 18 | 1104822931 | $150 |
| 19 | 1649355561 | $87 |
| 20 | 1902028541 | $52 |
Showing top 20 of 21 providers billing this code