B4105
HCPCS Procedure Code
HCPCS code B4105 is the #1,299 most-billed Medicaid procedure code, with $28.5M in payments across 7K claims from 2018–2024. The national median cost per claim is $4,164.23. Costs vary widely — the 90th percentile is $8,480.54 per claim, 2.0× the median.
Total Paid
$28.5M
0.00% of all spending
Total Claims
7K
Providers
22
Avg Cost/Claim
$4K
National Cost Distribution
How much do providers bill per claim for B4105? Based on 22 providers billing this code nationally.
Median
$4,164.23
Average
$4,857.39
Std Dev
$2,118.55
Max
$9,011.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,508.07 and $6,413.59 per claim for this code.
90% bill between $2,598.81 and $8,480.54.
Top 1% bill above $8,950.95.
About This Procedure
HCPCS code B4105 was billed by 22 providers across 7K claims, totaling $28.5M in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4,164.23
Providers Billing
22
National Spending
$28.5M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4105
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013913458 | $6.3M |
| 2 | 1770888455 | $3.8M |
| 3 | 1447268230 | $2.8M |
| 4 | 1679531693 | $2.5M |
| 5 | 1891703575 | $2.3M |
| 6 | 1346270527 | $2.1M |
| 7 | Option Care Enterprises Inc. Tampa, FL · Pharmacy Home Infusion Therapy Pharmacy | $1.5M |
| 8 | 1750484903 | $1.4M |
| 9 | 1508146010 | $1.1M |
| 10 | 1801824453 | $982K |
| 11 | 1124033196 | $880K |
| 12 | 1144321480 | $559K |
| 13 | 1902182637 | $482K |
| 14 | 1912930736 | $425K |
| 15 | 1326279746 | $410K |
| 16 | 1598765570 | $313K |
| 17 | 1568400687 | $229K |
| 18 | 1942252499 | $204K |
| 19 | 1952440604 | $180K |
| 20 | 1386967693 | $89K |
Showing top 20 of 22 providers billing this code