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#4265 of 11K

A4282

HCPCS Procedure Code

HCPCS code A4282 is the #4,265 most-billed Medicaid procedure code, with $704K in payments across 106K claims from 2018–2024. The national median cost per claim is $4.07. Costs vary widely — the 90th percentile is $23.13 per claim, 5.7× the median.

Total Paid

$704K

0.00% of all spending

Total Claims

106K

Providers

19

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for A4282? Based on 14 providers billing this code nationally.

Median

$4.07

Average

$9.33

Std Dev

$13.91

Max

$50.61

Percentile Distribution (Cost per Claim)

p10
$0.44
p25
$1.35
Median
$4.07
p75
$9.13
p90
$23.13
p95
$35.82
p99
$47.65

50% of providers bill between $1.35 and $9.13 per claim for this code.

90% bill between $0.44 and $23.13.

Top 1% bill above $47.65.

About This Procedure

HCPCS code A4282 was billed by 19 providers across 106K claims, totaling $704K in Medicaid payments from 2018–2024. This code was used for 95K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.07

Providers Billing

14

National Spending

$704K

Avg/Median Ratio

2.29×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4282

#ProviderTotal Paid
11902140734$471K
2Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$174K
31033221841$29K
41215997853$14K
51306961511$6K
61457772535$4K
71801965231$3K
81689665911$2K
91639375835$885
101245773043$472
111790718385$180
121043249196$168
131275523581$23
141003462581$22
151164923298$0
161578882718$0
171750772869$0
181205125663$0
191366517450$0

Showing top 19 of 19 providers billing this code