A4375
HCPCS Procedure Code
HCPCS code A4375 is the #5,210 most-billed Medicaid procedure code, with $261K in payments across 668 claims from 2018–2024. The national median cost per claim is $322.17.
Total Paid
$261K
0.00% of all spending
Total Claims
668
Providers
3
Avg Cost/Claim
$391
National Cost Distribution
How much do providers bill per claim for A4375? Based on 2 providers billing this code nationally.
Median
$322.17
Average
$322.17
Std Dev
$150.47
Max
$428.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $268.97 and $375.37 per claim for this code.
90% bill between $237.05 and $407.29.
Top 1% bill above $426.44.
About This Procedure
HCPCS code A4375 was billed by 3 providers across 668 claims, totaling $261K in Medicaid payments from 2018–2024. This code was used for 616 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$322.17
Providers Billing
2
National Spending
$261K
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.