A4481
HCPCS Procedure Code
HCPCS code A4481 is the #4,037 most-billed Medicaid procedure code, with $910K in payments across 36K claims from 2018–2024. The national median cost per claim is $9.30. Costs vary widely — the 90th percentile is $98.14 per claim, 10.6× the median.
Total Paid
$910K
0.00% of all spending
Total Claims
36K
Providers
25
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for A4481? Based on 25 providers billing this code nationally.
Median
$9.30
Average
$32.75
Std Dev
$53.05
Max
$228.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.02 and $18.87 per claim for this code.
90% bill between $1.70 and $98.14.
Top 1% bill above $203.33.
About This Procedure
HCPCS code A4481 was billed by 25 providers across 36K claims, totaling $910K in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.30
Providers Billing
25
National Spending
$910K
Avg/Median Ratio
3.52×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4481
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902098965 | $316K |
| 2 | 1083615991 | $224K |
| 3 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $73K |
| 4 | 1104882638 | $46K |
| 5 | 1316364011 | $42K |
| 6 | 1528037538 | $31K |
| 7 | 1477748119 | $24K |
| 8 | 1013952613 | $22K |
| 9 | 1831499789 | $20K |
| 10 | 1962452755 | $19K |
| 11 | 1245467240 | $14K |
| 12 | Integra Partners Llc Troy, MI · Orthotic Fitter | $13K |
| 13 | 1164533014 | $12K |
| 14 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $11K |
| 15 | 1750608147 | $11K |
| 16 | 1073539896 | $10K |
| 17 | 1386800423 | $8K |
| 18 | 1093761611 | $7K |
| 19 | 1992750913 | $5K |
| 20 | 1760573836 | $509 |
Showing top 20 of 25 providers billing this code