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#3568 of 11K

A4557

HCPCS Procedure Code

HCPCS code A4557 is the #3,568 most-billed Medicaid procedure code, with $1.5M in payments across 155K claims from 2018–2024. The national median cost per claim is $8.97. Costs vary widely — the 90th percentile is $29.82 per claim, 3.3× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

155K

Providers

81

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for A4557? Based on 68 providers billing this code nationally.

Median

$8.97

Average

$14.93

Std Dev

$17.76

Max

$111.66

Percentile Distribution (Cost per Claim)

p10
$1.66
p25
$4.80
Median
$8.97
p75
$17.85
p90
$29.82
p95
$35.41
p99
$93.14

50% of providers bill between $4.80 and $17.85 per claim for this code.

90% bill between $1.66 and $29.82.

Top 1% bill above $93.14.

About This Procedure

HCPCS code A4557 was billed by 81 providers across 155K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 130K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.97

Providers Billing

68

National Spending

$1.5M

Avg/Median Ratio

1.66×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for A4557

#ProviderTotal Paid
11124336722$435K
21770511552$307K
31154436962$263K
41336446004$63K
51629167028$60K
61760513923$57K
71598762874$37K
81043598634$33K
91508297854$26K
101962579177$24K
111285025973$20K
121538668843$13K
131972553162$12K
141659765204$12K
151437196557$12K
161265422596$9K
171356321418$8K
181770096372$8K
191932537941$6K
201770127540$6K

Showing top 20 of 81 providers billing this code