A4305
HCPCS Procedure Code
HCPCS code A4305 is the #2,025 most-billed Medicaid procedure code, with $9.9M in payments across 142K claims from 2018–2024. The national median cost per claim is $76.95. Costs vary widely — the 90th percentile is $203.28 per claim, 2.6× the median.
Total Paid
$9.9M
0.00% of all spending
Total Claims
142K
Providers
90
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for A4305? Based on 90 providers billing this code nationally.
Median
$76.95
Average
$96.23
Std Dev
$85.64
Max
$464.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.33 and $132.68 per claim for this code.
90% bill between $14.76 and $203.28.
Top 1% bill above $367.31.
About This Procedure
HCPCS code A4305 was billed by 90 providers across 142K claims, totaling $9.9M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.95
Providers Billing
90
National Spending
$9.9M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4305
| # | Provider | Total Paid |
|---|---|---|
| 1 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $1.3M |
| 2 | 1831241033 | $1.0M |
| 3 | 1396852000 | $841K |
| 4 | 1912930736 | $448K |
| 5 | 1629174214 | $417K |
| 6 | 1457872632 | $360K |
| 7 | 1831561091 | $346K |
| 8 | 1164556213 | $315K |
| 9 | 1164735379 | $299K |
| 10 | 1801828389 | $292K |
| 11 | 1174567143 | $287K |
| 12 | 1932133196 | $285K |
| 13 | 1518912344 | $282K |
| 14 | 1275637324 | $274K |
| 15 | 1679910269 | $256K |
| 16 | 1861727588 | $219K |
| 17 | 1427012954 | $177K |
| 18 | 1083748867 | $170K |
| 19 | 1508890450 | $148K |
| 20 | 1679678049 | $139K |
Showing top 20 of 90 providers billing this code