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#1207 of 11K

A4629

HCPCS Procedure Code

HCPCS code A4629 is the #1,207 most-billed Medicaid procedure code, with $33.3M in payments across 622K claims from 2018–2024. The national median cost per claim is $54.42.

Total Paid

$33.3M

0.00% of all spending

Total Claims

622K

Providers

351

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for A4629? Based on 342 providers billing this code nationally.

Median

$54.42

Average

$56.84

Std Dev

$31.64

Max

$208.69

Percentile Distribution (Cost per Claim)

p10
$13.45
p25
$36.52
Median
$54.42
p75
$77.45
p90
$97.04
p95
$103.15
p99
$135.83

50% of providers bill between $36.52 and $77.45 per claim for this code.

90% bill between $13.45 and $97.04.

Top 1% bill above $135.83.

About This Procedure

HCPCS code A4629 was billed by 351 providers across 622K claims, totaling $33.3M in Medicaid payments from 2018–2024. This code was used for 480K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.42

Providers Billing

342

National Spending

$33.3M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4629

#ProviderTotal Paid
11871738153$1.5M
21902137409$1.3M
3Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$1.3M
4Super Care Inc

City Of Industry, CA · Durable Medical Equipment & Medical Supplies

$1.2M
51083615991$1.1M
61861480048$955K
71376620815$902K
81326607011$861K
91477748119$785K
101013952613$587K
111528037538$527K
121750608147$502K
131649228909$455K
141548360464$451K
151174505549$440K
16Integra Partners Llc

Troy, MI · Orthotic Fitter

$422K
17Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$420K
181386688414$418K
191285803775$416K
201720244296$389K

Showing top 20 of 351 providers billing this code