A4285
HCPCS Procedure Code
HCPCS code A4285 is the #4,255 most-billed Medicaid procedure code, with $712K in payments across 107K claims from 2018–2024. The national median cost per claim is $5.69. Costs vary widely — the 90th percentile is $12.73 per claim, 2.2× the median.
Total Paid
$712K
0.00% of all spending
Total Claims
107K
Providers
26
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for A4285? Based on 23 providers billing this code nationally.
Median
$5.69
Average
$6.44
Std Dev
$4.52
Max
$14.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.69 and $10.05 per claim for this code.
90% bill between $1.21 and $12.73.
Top 1% bill above $14.49.
About This Procedure
HCPCS code A4285 was billed by 26 providers across 107K claims, totaling $712K in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.69
Providers Billing
23
National Spending
$712K
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4285
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902140734 | $464K |
| 2 | 1033221841 | $133K |
| 3 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $62K |
| 4 | 1801965231 | $14K |
| 5 | 1184960874 | $10K |
| 6 | 1699021642 | $10K |
| 7 | 1215997853 | $6K |
| 8 | 1366517450 | $4K |
| 9 | 1235189366 | $3K |
| 10 | 1639375835 | $2K |
| 11 | 1275523581 | $854 |
| 12 | 1568702744 | $772 |
| 13 | Preferred Home Health Care & Nursing Services Inc. Mount Laurel, NJ · Home Health | $674 |
| 14 | 1245773043 | $457 |
| 15 | 1043249196 | $373 |
| 16 | 1033397716 | $348 |
| 17 | 1457772535 | $150 |
| 18 | 1164923298 | $99 |
| 19 | 1003462581 | $90 |
| 20 | 1790718385 | $60 |
Showing top 20 of 26 providers billing this code