A4565
HCPCS Procedure Code
HCPCS code A4565 is the #3,584 most-billed Medicaid procedure code, with $1.5M in payments across 148K claims from 2018–2024. The national median cost per claim is $5.77. Costs vary widely — the 90th percentile is $13.02 per claim, 2.3× the median.
Total Paid
$1.5M
0.00% of all spending
Total Claims
148K
Providers
214
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for A4565? Based on 161 providers billing this code nationally.
Median
$5.77
Average
$9.86
Std Dev
$42.23
Max
$536.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.23 and $7.29 per claim for this code.
90% bill between $0.31 and $13.02.
Top 1% bill above $35.94.
About This Procedure
HCPCS code A4565 was billed by 214 providers across 148K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 136K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.77
Providers Billing
161
National Spending
$1.5M
Avg/Median Ratio
1.71×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4565
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $697K |
| 2 | Djo, Llc Carlsbad, CA · Prosthetic/Orthotic Supplier | $150K |
| 3 | 1891787594 | $104K |
| 4 | 1487646360 | $50K |
| 5 | 1689665911 | $24K |
| 6 | 1881100089 | $22K |
| 7 | 1689603748 | $22K |
| 8 | 1265526396 | $21K |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $21K |
| 10 | 1912133315 | $21K |
| 11 | 1902080005 | $19K |
| 12 | 1861573685 | $17K |
| 13 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $15K |
| 14 | 1003885799 | $14K |
| 15 | 1699002477 | $13K |
| 16 | 1326048893 | $13K |
| 17 | 1215219878 | $12K |
| 18 | 1043251341 | $10K |
| 19 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $9K |
| 20 | 1043293608 | $9K |
Showing top 20 of 214 providers billing this code