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#4245 of 11K

A4772

HCPCS Procedure Code

HCPCS code A4772 is the #4,245 most-billed Medicaid procedure code, with $715K in payments across 6,994 claims from 2018–2024. The national median cost per claim is $72.56. Costs vary widely — the 90th percentile is $153.14 per claim, 2.1× the median.

Total Paid

$715K

0.00% of all spending

Total Claims

6,994

Providers

10

Avg Cost/Claim

$102

National Cost Distribution

How much do providers bill per claim for A4772? Based on 8 providers billing this code nationally.

Median

$72.56

Average

$84.40

Std Dev

$59.07

Max

$162.54

Percentile Distribution (Cost per Claim)

p10
$24.25
p25
$44.55
Median
$72.56
p75
$138.35
p90
$153.14
p95
$157.84
p99
$161.60

50% of providers bill between $44.55 and $138.35 per claim for this code.

90% bill between $24.25 and $153.14.

Top 1% bill above $161.60.

About This Procedure

HCPCS code A4772 was billed by 10 providers across 6,994 claims, totaling $715K in Medicaid payments from 2018–2024. This code was used for 6,429 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.56

Providers Billing

8

National Spending

$715K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A4772

#ProviderTotal Paid
11962432666$337K
21063968881$197K
31922139104$90K
41447341177$53K
51710083308$29K
61558840900$6K
71942365002$3K
81336755263$59
9City Of Tacoma

Tacoma, WA · Ambulance Land Transport

$0
101437156841$0

Showing top 10 of 10 providers billing this code

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