A4649
Surgical supply, miscellaneous, not otherwise classified
Surgical supply, miscellaneous, not otherwise classified is the #1,126 most-billed Medicaid procedure code, with $39.2M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $5.04. Costs vary widely — the 90th percentile is $130.30 per claim, 25.9× the median.
Total Paid
$39.2M
0.00% of all spending
Total Claims
1.1M
Providers
514
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for A4649? Based on 372 providers billing this code nationally.
Median
$5.04
Average
$47.37
Std Dev
$148.12
Max
$1,936.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.96 and $22.15 per claim for this code.
90% bill between $0.18 and $130.30.
Top 1% bill above $605.46.
About This Procedure
HCPCS code A4649 (Surgical supply, miscellaneous, not otherwise classified) was billed by 514 providers across 1.1M claims, totaling $39.2M in Medicaid payments from 2018–2024. This code was used for 744K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.04
Providers Billing
372
National Spending
$39.2M
Avg/Median Ratio
9.40×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4649
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215903547 | $6.0M |
| 2 | 1013981554 | $5.7M |
| 3 | 1073665360 | $5.4M |
| 4 | 1306890389 | $3.3M |
| 5 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $2.4M |
| 6 | 1194877332 | $1.6M |
| 7 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $926K |
| 8 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $922K |
| 9 | 1154523561 | $810K |
| 10 | 1013911056 | $790K |
| 11 | 1073680799 | $765K |
| 12 | 1548354038 | $735K |
| 13 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $697K |
| 14 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $646K |
| 15 | 1215903018 | $584K |
| 16 | 1902137409 | $457K |
| 17 | 1942265939 | $449K |
| 18 | 1417959701 | $435K |
| 19 | 1457381782 | $382K |
| 20 | 1013961408 | $372K |
Showing top 20 of 514 providers billing this code