A4458
HCPCS Procedure Code
HCPCS code A4458 is the #5,505 most-billed Medicaid procedure code, with $185K in payments across 6K claims from 2018–2024. The national median cost per claim is $3.51. Costs vary widely — the 90th percentile is $29.71 per claim, 8.5× the median.
Total Paid
$185K
0.00% of all spending
Total Claims
6K
Providers
5
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for A4458? Based on 4 providers billing this code nationally.
Median
$3.51
Average
$12.41
Std Dev
$18.83
Max
$40.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.58 and $13.34 per claim for this code.
90% bill between $2.22 and $29.71.
Top 1% bill above $39.53.
About This Procedure
HCPCS code A4458 was billed by 5 providers across 6K claims, totaling $185K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.51
Providers Billing
4
National Spending
$185K
Avg/Median Ratio
3.54×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4458
| # | Provider | Total Paid |
|---|---|---|
| 1 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $180K |
| 2 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $3K |
| 3 | 1164888533 | $1K |
| 4 | 1184768293 | $575 |
| 5 | 1326140138 | $0 |
Showing top 5 of 5 providers billing this code