A4612
HCPCS Procedure Code
HCPCS code A4612 is the #6,145 most-billed Medicaid procedure code, with $90K in payments across 1K claims from 2018–2024. The national median cost per claim is $64.65.
Total Paid
$90K
0.00% of all spending
Total Claims
1K
Providers
3
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for A4612? Based on 3 providers billing this code nationally.
Median
$64.65
Average
$62.50
Std Dev
$4.15
Max
$65.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $61.19 and $64.89 per claim for this code.
90% bill between $59.11 and $65.04.
Top 1% bill above $65.13.
About This Procedure
HCPCS code A4612 was billed by 3 providers across 1K claims, totaling $90K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.65
Providers Billing
3
National Spending
$90K
Avg/Median Ratio
0.97×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.