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#2025 of 11K

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)

p10
$14.76
p25
$27.33
Median
$76.95
p75
$132.68
p90
$203.28
p95
$270.03
p99
$367.31

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

#ProviderTotal Paid
1Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$1.3M
21831241033$1.0M
31396852000$841K
41912930736$448K
51629174214$417K
61457872632$360K
71831561091$346K
81164556213$315K
91164735379$299K
101801828389$292K
111174567143$287K
121932133196$285K
131518912344$282K
141275637324$274K
151679910269$256K
161861727588$219K
171427012954$177K
181083748867$170K
191508890450$148K
201679678049$139K

Showing top 20 of 90 providers billing this code