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#7982 of 11K

A4495

HCPCS Procedure Code

HCPCS code A4495 is the #7,982 most-billed Medicaid procedure code, with $8K in payments across 340 claims from 2018–2024. The national median cost per claim is $53.02.

Total Paid

$8K

0.00% of all spending

Total Claims

340

Providers

3

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for A4495? Based on 3 providers billing this code nationally.

Median

$53.02

Average

$43.89

Std Dev

$34.61

Max

$73.02

Percentile Distribution (Cost per Claim)

p10
$15.11
p25
$29.33
Median
$53.02
p75
$63.02
p90
$69.02
p95
$71.02
p99
$72.62

50% of providers bill between $29.33 and $63.02 per claim for this code.

90% bill between $15.11 and $69.02.

Top 1% bill above $72.62.

About This Procedure

HCPCS code A4495 was billed by 3 providers across 340 claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 183 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$53.02

Providers Billing

3

National Spending

$8K

Avg/Median Ratio

0.83×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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