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#7390 of 11K

A4620

HCPCS Procedure Code

HCPCS code A4620 is the #7,390 most-billed Medicaid procedure code, with $19K in payments across 25K claims from 2018–2024. The national median cost per claim is $0.21. Costs vary widely — the 90th percentile is $2.51 per claim, 12.0× the median.

Total Paid

$19K

0.00% of all spending

Total Claims

25K

Providers

28

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for A4620? Based on 23 providers billing this code nationally.

Median

$0.21

Average

$0.89

Std Dev

$1.60

Max

$5.70

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.03
Median
$0.21
p75
$0.64
p90
$2.51
p95
$5.11
p99
$5.63

50% of providers bill between $0.03 and $0.64 per claim for this code.

90% bill between $0.00 and $2.51.

Top 1% bill above $5.63.

About This Procedure

HCPCS code A4620 was billed by 28 providers across 25K claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 22K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.21

Providers Billing

23

National Spending

$19K

Avg/Median Ratio

4.24×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for A4620

#ProviderTotal Paid
11033289889$9K
2Mnr Industries Llc

Bel Air, MD · Clinic/Center Urgent Care

$7K
3Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$1K
41598107526$906
51407022510$385
61326025669$135
71154927937$71
81164522314$45
91801063755$26
101699095638$20
111427125269$20
12The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$16
131649370883$14
141639161250$13
151285635235$8
161043263080$7
171013961408$4
181659402006$4
191093713976$2
201720031701$2

Showing top 20 of 28 providers billing this code