A4315
HCPCS Procedure Code
HCPCS code A4315 is the #4,737 most-billed Medicaid procedure code, with $425K in payments across 67K claims from 2018–2024. The national median cost per claim is $10.63. Costs vary widely — the 90th percentile is $28.23 per claim, 2.7× the median.
Total Paid
$425K
0.00% of all spending
Total Claims
67K
Providers
40
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for A4315? Based on 34 providers billing this code nationally.
Median
$10.63
Average
$17.44
Std Dev
$30.97
Max
$177.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.76 and $16.76 per claim for this code.
90% bill between $1.62 and $28.23.
Top 1% bill above $137.61.
About This Procedure
HCPCS code A4315 was billed by 40 providers across 67K claims, totaling $425K in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.63
Providers Billing
34
National Spending
$425K
Avg/Median Ratio
1.64×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4315
| # | Provider | Total Paid |
|---|---|---|
| 1 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $115K |
| 2 | 1013124213 | $89K |
| 3 | 1649244138 | $41K |
| 4 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $36K |
| 5 | 1992891238 | $25K |
| 6 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $19K |
| 7 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $18K |
| 8 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $17K |
| 9 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $9K |
| 10 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $7K |
| 11 | 1376916379 | $6K |
| 12 | 1063771798 | $5K |
| 13 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $5K |
| 14 | 1881698439 | $5K |
| 15 | 1730174764 | $4K |
| 16 | 1366440968 | $3K |
| 17 | 1992162911 | $3K |
| 18 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $2K |
| 19 | 1053347344 | $2K |
| 20 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $2K |
Showing top 20 of 40 providers billing this code