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#4255 of 11K

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)

p10
$1.21
p25
$2.69
Median
$5.69
p75
$10.05
p90
$12.73
p95
$12.89
p99
$14.49

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

#ProviderTotal Paid
11902140734$464K
21033221841$133K
3Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$62K
41801965231$14K
51184960874$10K
61699021642$10K
71215997853$6K
81366517450$4K
91235189366$3K
101639375835$2K
111275523581$854
121568702744$772
13Preferred Home Health Care & Nursing Services Inc.

Mount Laurel, NJ · Home Health

$674
141245773043$457
151043249196$373
161033397716$348
171457772535$150
181164923298$99
191003462581$90
201790718385$60

Showing top 20 of 26 providers billing this code