A4580
HCPCS Procedure Code
HCPCS code A4580 is the #5,653 most-billed Medicaid procedure code, with $160K in payments across 11K claims from 2018–2024. The national median cost per claim is $24.80. Costs vary widely — the 90th percentile is $64.31 per claim, 2.6× the median.
Total Paid
$160K
0.00% of all spending
Total Claims
11K
Providers
33
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for A4580? Based on 21 providers billing this code nationally.
Median
$24.80
Average
$39.41
Std Dev
$57.56
Max
$265.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.21 and $57.20 per claim for this code.
90% bill between $1.95 and $64.31.
Top 1% bill above $227.05.
About This Procedure
HCPCS code A4580 was billed by 33 providers across 11K claims, totaling $160K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.80
Providers Billing
21
National Spending
$160K
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A4580
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598859282 | $55K |
| 2 | 1679617229 | $31K |
| 3 | 1447410402 | $20K |
| 4 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $15K |
| 5 | 1528024999 | $7K |
| 6 | 1780669200 | $6K |
| 7 | 1023010899 | $4K |
| 8 | 1326079781 | $4K |
| 9 | 1801929757 | $4K |
| 10 | 1013013002 | $3K |
| 11 | 1518230663 | $3K |
| 12 | 1265505077 | $2K |
| 13 | 1467669309 | $2K |
| 14 | 1720046253 | $1K |
| 15 | 1326094863 | $1K |
| 16 | 1952311821 | $1K |
| 17 | 1710999792 | $457 |
| 18 | 1558786830 | $294 |
| 19 | 1790887974 | $139 |
| 20 | 1245518190 | $68 |
Showing top 20 of 33 providers billing this code