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#6077 of 11K

A4328

HCPCS Procedure Code

HCPCS code A4328 is the #6,077 most-billed Medicaid procedure code, with $97K in payments across 1,039 claims from 2018–2024. The national median cost per claim is $48.19.

Total Paid

$97K

0.00% of all spending

Total Claims

1,039

Providers

2

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for A4328? Based on 2 providers billing this code nationally.

Median

$48.19

Average

$48.19

Std Dev

$66.02

Max

$94.87

Percentile Distribution (Cost per Claim)

p10
$10.84
p25
$24.84
Median
$48.19
p75
$71.53
p90
$85.54
p95
$90.21
p99
$93.94

50% of providers bill between $24.84 and $71.53 per claim for this code.

90% bill between $10.84 and $85.54.

Top 1% bill above $93.94.

About This Procedure

HCPCS code A4328 was billed by 2 providers across 1,039 claims, totaling $97K in Medicaid payments from 2018–2024. This code was used for 843 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$48.19

Providers Billing

2

National Spending

$97K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.