#3640 of 11K

B4081

HCPCS Procedure Code

HCPCS code B4081 is the #3,640 most-billed Medicaid procedure code, with $1.4M in payments across 40K claims from 2018–2024. The national median cost per claim is $36.64.

Total Paid

$1.4M

0.00% of all spending

Total Claims

40K

Providers

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for B4081? Based on 40 providers billing this code nationally.

Median

$36.64

Average

$35.82

Std Dev

$19.99

Max

$75.43

Percentile Distribution (Cost per Claim)

p10

$11.66

p25

$18.24

Median

$36.64

p75

$47.50

p90

$60.62

p95

$72.71

p99

$74.38

50% of providers bill between $18.24 and $47.50 per claim for this code.

90% bill between $11.66 and $60.62.

Top 1% bill above $74.38.

About This Procedure

HCPCS code B4081 was billed by 41 providers across 40K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$36.64

Providers Billing

National Spending

$1.4M

Avg/Median Ratio

0.98×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4081

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1871509489	$287K	$31.27	0.9× median	Below Median
2	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$216K	$50.96	1.4× median	Above 75th
3	Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$167K	$21.25	0.6× median	Below Median
4	1265418891	$159K	$55.23	1.5× median	Above 75th
5	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$108K	$46.35	1.3× median	Above Median
6	1912101783	$71K	$44.61	1.2× median	Above Median
7	1043398407	$59K	$37.02	1.0× median	Above Median
8	1407159817	$57K	$57.69	1.6× median	Above 75th
9	1083615991	$34K	$41.02	1.1× median	Above Median
10	1326096629	$28K	$17.88	0.5× median	Below Median
11	1164536025	$24K	$45.46	1.2× median	Above Median
12	1235209081	$22K	$39.30	1.1× median	Above Median
13	1245222652	$20K	$59.36	1.6× median	Above 75th
14	1154418218	$20K	$14.42	0.4× median	Below Median
15	1194859629	$16K	$45.52	1.2× median	Above Median
16	1639127079	$15K	$72.71	2.0× median	Top 10%
17	1700883741	$15K	$30.61	0.8× median	Below Median
18	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$13K	$23.49	0.6× median	Below Median
19	Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies	$9K	$72.73	2.0× median	Top 10%
20	Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment	$7K	$71.94	2.0× median	Top 10%

Showing top 20 of 41 providers billing this code

Related Procedures

B4088$118.8M B4087$22.1M B4082$1.1M B4083$14K

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