A4625
HCPCS Procedure Code
HCPCS code A4625 is the #4,386 most-billed Medicaid procedure code, with $619K in payments across 8K claims from 2018–2024. The national median cost per claim is $51.02. Costs vary widely — the 90th percentile is $121.14 per claim, 2.4× the median.
Total Paid
$619K
0.00% of all spending
Total Claims
8K
Providers
5
Avg Cost/Claim
$81
National Cost Distribution
How much do providers bill per claim for A4625? Based on 5 providers billing this code nationally.
Median
$51.02
Average
$68.76
Std Dev
$48.46
Max
$136.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $44.60 and $98.02 per claim for this code.
90% bill between $26.00 and $121.14.
Top 1% bill above $135.01.
About This Procedure
HCPCS code A4625 was billed by 5 providers across 8K claims, totaling $619K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$51.02
Providers Billing
5
National Spending
$619K
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4625
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508885617 | $473K |
| 2 | 1306961792 | $97K |
| 3 | 1881932424 | $41K |
| 4 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $6K |
| 5 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $3K |
Showing top 5 of 5 providers billing this code