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#7993 of 11K

A4690

HCPCS Procedure Code

HCPCS code A4690 is the #7,993 most-billed Medicaid procedure code, with $7K in payments across 67K claims from 2018–2024. The national median cost per claim is $1.62.

Total Paid

$7K

0.00% of all spending

Total Claims

67K

Providers

3

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for A4690? Based on 2 providers billing this code nationally.

Median

$1.62

Average

$1.62

Std Dev

$2.26

Max

$3.22

Percentile Distribution (Cost per Claim)

p10
$0.34
p25
$0.82
Median
$1.62
p75
$2.42
p90
$2.90
p95
$3.06
p99
$3.18

50% of providers bill between $0.82 and $2.42 per claim for this code.

90% bill between $0.34 and $2.90.

Top 1% bill above $3.18.

About This Procedure

HCPCS code A4690 was billed by 3 providers across 67K claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 6,124 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.62

Providers Billing

2

National Spending

$7K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.