A4590
HCPCS Procedure Code
HCPCS code A4590 is the #3,854 most-billed Medicaid procedure code, with $1.1M in payments across 67K claims from 2018–2024. The national median cost per claim is $18.45.
Total Paid
$1.1M
0.00% of all spending
Total Claims
67K
Providers
73
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for A4590? Based on 62 providers billing this code nationally.
Median
$18.45
Average
$22.47
Std Dev
$25.46
Max
$139.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.97 and $25.02 per claim for this code.
90% bill between $3.21 and $29.81.
Top 1% bill above $133.85.
About This Procedure
HCPCS code A4590 was billed by 73 providers across 67K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 54K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.45
Providers Billing
62
National Spending
$1.1M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4590
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346761897 | $256K |
| 2 | 1962429589 | $117K |
| 3 | 1497704217 | $85K |
| 4 | 1760887673 | $68K |
| 5 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $60K |
| 6 | 1265470645 | $45K |
| 7 | 1376592964 | $37K |
| 8 | Community Medical Associates, Inc. Louisville, KY · Clinical Neuropsychologist | $35K |
| 9 | 1841654407 | $33K |
| 10 | 1326695255 | $33K |
| 11 | The Nemours Foundation Wilmington, DE · Clinic/Center, Developmental Disabilities | $29K |
| 12 | 1679771703 | $28K |
| 13 | 1912197237 | $27K |
| 14 | 1245204494 | $26K |
| 15 | 1356412142 | $20K |
| 16 | Podiatry Center Of New Jersey, Llc Wayne, NJ · Clinic/Center, Podiatric | $18K |
| 17 | 1942300918 | $17K |
| 18 | 1841302379 | $17K |
| 19 | 1386767457 | $16K |
| 20 | 1952772253 | $15K |
Showing top 20 of 73 providers billing this code