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#3705 of 11K

A4465

HCPCS Procedure Code

HCPCS code A4465 is the #3,705 most-billed Medicaid procedure code, with $1.3M in payments across 2K claims from 2018–2024. The national median cost per claim is $167.11. Costs vary widely — the 90th percentile is $597.27 per claim, 3.6× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

2K

Providers

6

Avg Cost/Claim

$625

National Cost Distribution

How much do providers bill per claim for A4465? Based on 5 providers billing this code nationally.

Median

$167.11

Average

$250.21

Std Dev

$357.17

Max

$872.01

Percentile Distribution (Cost per Claim)

p10
$10.81
p25
$26.30
Median
$167.11
p75
$185.17
p90
$597.27
p95
$734.64
p99
$844.54

50% of providers bill between $26.30 and $185.17 per claim for this code.

90% bill between $10.81 and $597.27.

Top 1% bill above $844.54.

About This Procedure

HCPCS code A4465 was billed by 6 providers across 2K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$167.11

Providers Billing

5

National Spending

$1.3M

Avg/Median Ratio

1.50×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4465

#ProviderTotal Paid
11639128796$1.3M
21811418429$34K
31639161250$5K
41083604300$5K
51568415560$45
61750551719$0

Showing top 6 of 6 providers billing this code