A4657
Syringe with needle, each
Syringe with needle, each is the #270 most-billed Medicaid procedure code, with $517.9M in payments across 42.5M claims from 2018–2024. The national median cost per claim is $2.19. Costs vary widely — the 90th percentile is $146.03 per claim, 66.7× the median.
Total Paid
$517.9M
0.05% of all spending
Total Claims
42.5M
Providers
5K
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for A4657? Based on 3K providers billing this code nationally.
Median
$2.19
Average
$35.15
Std Dev
$86.33
Max
$1,867.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.23 and $14.63 per claim for this code.
90% bill between $0.02 and $146.03.
Top 1% bill above $361.71.
About This Procedure
HCPCS code A4657 (Syringe with needle, each) was billed by 5K providers across 42.5M claims, totaling $517.9M in Medicaid payments from 2018–2024. This code was used for 4.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.19
Providers Billing
3K
National Spending
$517.9M
Avg/Median Ratio
16.05×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4657
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942293691 | $15.9M |
| 2 | Central Florida Kidney Centers Inc Orlando, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $9.1M |
| 3 | Newtown Dialysis Center Inc Elmhurst, NY · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $6.7M |
| 4 | 1891788550 | $6.3M |
| 5 | Dialysis Clinic Inc Jacksonville, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $5.8M |
| 6 | 1689992448 | $5.5M |
| 7 | 1336117670 | $5.4M |
| 8 | 1952307589 | $5.0M |
| 9 | 1457449282 | $4.1M |
| 10 | 1245236876 | $4.0M |
| 11 | 1871520361 | $3.8M |
| 12 | 1104844562 | $3.7M |
| 13 | 1609988450 | $3.7M |
| 14 | 1891807657 | $3.7M |
| 15 | 1831182583 | $3.5M |
| 16 | 1821520735 | $3.3M |
| 17 | 1326150186 | $3.2M |
| 18 | 1053423806 | $3.1M |
| 19 | 1336251198 | $3.1M |
| 20 | 1700979325 | $3.1M |
Showing top 20 of 5K providers billing this code