A4398
HCPCS Procedure Code
HCPCS code A4398 is the #5,730 most-billed Medicaid procedure code, with $148K in payments across 11K claims from 2018–2024. The national median cost per claim is $9.50. Costs vary widely — the 90th percentile is $23.08 per claim, 2.4× the median.
Total Paid
$148K
0.00% of all spending
Total Claims
11K
Providers
14
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for A4398? Based on 14 providers billing this code nationally.
Median
$9.50
Average
$15.76
Std Dev
$18.51
Max
$75.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.06 and $18.41 per claim for this code.
90% bill between $4.12 and $23.08.
Top 1% bill above $69.06.
About This Procedure
HCPCS code A4398 was billed by 14 providers across 11K claims, totaling $148K in Medicaid payments from 2018–2024. This code was used for 9,972 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.50
Providers Billing
14
National Spending
$148K
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4398
| # | Provider | Total Paid |
|---|---|---|
| 1 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $45K |
| 2 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $25K |
| 3 | 1760425011 | $25K |
| 4 | 1801866173 | $20K |
| 5 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $11K |
| 6 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $10K |
| 7 | 1114905163 | $4K |
| 8 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $3K |
| 9 | 1366704579 | $2K |
| 10 | 1598754467 | $1K |
| 11 | 1649244138 | $747 |
| 12 | 1417955170 | $587 |
| 13 | Nationwide Children's Hospital Columbus, OH · Durable Medical Equipment & Medical Supplies | $551 |
| 14 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $99 |
Showing top 14 of 14 providers billing this code