A4461
HCPCS Procedure Code
HCPCS code A4461 is the #5,400 most-billed Medicaid procedure code, with $208K in payments across 11K claims from 2018–2024. The national median cost per claim is $22.84.
Total Paid
$208K
0.00% of all spending
Total Claims
11K
Providers
6
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for A4461? Based on 3 providers billing this code nationally.
Median
$22.84
Average
$17.46
Std Dev
$13.78
Max
$27.74
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.32 and $25.29 per claim for this code.
90% bill between $6.01 and $26.76.
Top 1% bill above $27.64.
About This Procedure
HCPCS code A4461 was billed by 6 providers across 11K claims, totaling $208K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$22.84
Providers Billing
3
National Spending
$208K
Avg/Median Ratio
0.76×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4461
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891912432 | $198K |
| 2 | 1801929757 | $9K |
| 3 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $1K |
| 4 | 1700886322 | $0 |
| 5 | 1477561983 | $0 |
| 6 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $0 |
Showing top 6 of 6 providers billing this code