#2395 of 11K

B4104

HCPCS Procedure Code

HCPCS code B4104 is the #2,395 most-billed Medicaid procedure code, with $6.1M in payments across 67K claims from 2018–2024. The national median cost per claim is $72.05. Costs vary widely — the 90th percentile is $148.75 per claim, 2.1× the median.

Total Paid

$6.1M

0.00% of all spending

Total Claims

67K

Providers

Avg Cost/Claim

$91

National Cost Distribution

How much do providers bill per claim for B4104? Based on 42 providers billing this code nationally.

Median

$72.05

Average

$85.19

Std Dev

$82.59

Max

$409.59

Percentile Distribution (Cost per Claim)

p10

$0.93

p25

$46.74

Median

$72.05

p75

$99.10

p90

$148.75

p95

$169.03

p99

$395.53

50% of providers bill between $46.74 and $99.10 per claim for this code.

90% bill between $0.93 and $148.75.

Top 1% bill above $395.53.

About This Procedure

HCPCS code B4104 was billed by 44 providers across 67K claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$72.05

Providers Billing

National Spending

$6.1M

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4104

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$1.1M	$73.50	1.0× median	Above Median
2	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$923K	$102.14	1.4× median	Above 75th
3	1750608147	$745K	$375.30	5.2× median	Top 10%
4	Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment	$404K	$85.25	1.2× median	Above Median
5	1629013156	$400K	$409.59	5.7× median	Top 1%
6	1013952613	$384K	$134.87	1.9× median	Above 75th
7	1477748119	$364K	$150.29	2.1× median	Top 10%
8	1407159817	$342K	$86.65	1.2× median	Above Median
9	1306865340	$265K	$121.92	1.7× median	Above 75th
10	1316364011	$197K	$87.50	1.2× median	Above Median
11	1043317761	$189K	$84.52	1.2× median	Above Median
12	1801866173	$153K	$169.51	2.4× median	Top 10%
13	1528037538	$113K	$64.67	0.9× median	Below Median
14	1871509489	$76K	$18.22	0.3× median	Below Median
15	1194859629	$74K	$56.78	0.8× median	Below Median
16	1548281512	$71K	$76.32	1.1× median	Above Median
17	1205898541	$64K	$53.17	0.7× median	Below Median
18	1902829500	$63K	$129.33	1.8× median	Above 75th
19	1649228909	$49K	$100.38	1.4× median	Above 75th
20	1538438437	$46K	$54.56	0.8× median	Below Median

Showing top 20 of 44 providers billing this code

Related Procedures

B4100$35.7M B4105$28.5M B4103$11.0M B4102$3.3M

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