A4626
HCPCS Procedure Code
HCPCS code A4626 is the #6,428 most-billed Medicaid procedure code, with $66K in payments across 11K claims from 2018–2024. The national median cost per claim is $0.60. Costs vary widely — the 90th percentile is $6.44 per claim, 10.7× the median.
Total Paid
$66K
0.00% of all spending
Total Claims
11K
Providers
10
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for A4626? Based on 10 providers billing this code nationally.
Median
$0.60
Average
$2.62
Std Dev
$4.30
Max
$13.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.15 and $3.22 per claim for this code.
90% bill between $0.09 and $6.44.
Top 1% bill above $12.91.
About This Procedure
HCPCS code A4626 was billed by 10 providers across 11K claims, totaling $66K in Medicaid payments from 2018–2024. This code was used for 8,528 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.60
Providers Billing
10
National Spending
$66K
Avg/Median Ratio
4.37×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4626
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962452755 | $52K |
| 2 | 1033289889 | $13K |
| 3 | 1851328157 | $708 |
| 4 | 1962515783 | $356 |
| 5 | 1164612040 | $86 |
| 6 | 1033436746 | $31 |
| 7 | 1043247448 | $21 |
| 8 | 1134782964 | $15 |
| 9 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $3 |
| 10 | 1295823508 | $0 |
Showing top 10 of 10 providers billing this code