B4155
HCPCS Procedure Code
HCPCS code B4155 is the #835 most-billed Medicaid procedure code, with $69.6M in payments across 623K claims from 2018–2024. The national median cost per claim is $46.72. Costs vary widely — the 90th percentile is $230.02 per claim, 4.9× the median.
Total Paid
$69.6M
0.01% of all spending
Total Claims
623K
Providers
364
Avg Cost/Claim
$112
National Cost Distribution
How much do providers bill per claim for B4155? Based on 362 providers billing this code nationally.
Median
$46.72
Average
$92.86
Std Dev
$158.11
Max
$2,029.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.88 and $95.54 per claim for this code.
90% bill between $13.61 and $230.02.
Top 1% bill above $621.96.
About This Procedure
HCPCS code B4155 was billed by 364 providers across 623K claims, totaling $69.6M in Medicaid payments from 2018–2024. This code was used for 504K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.72
Providers Billing
362
National Spending
$69.6M
Avg/Median Ratio
1.99×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for B4155
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $4.9M |
| 2 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $4.2M |
| 3 | 1689792178 | $3.9M |
| 4 | 1710455027 | $3.7M |
| 5 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $2.9M |
| 6 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $2.7M |
| 7 | 1407159817 | $2.5M |
| 8 | 1144358839 | $2.4M |
| 9 | 1194859629 | $2.2M |
| 10 | 1629013156 | $2.1M |
| 11 | 1043512114 | $1.3M |
| 12 | 1013952613 | $1.3M |
| 13 | 1871509489 | $1.2M |
| 14 | 1457828055 | $1.2M |
| 15 | 1801866173 | $1.1M |
| 16 | 1306865340 | $1.0M |
| 17 | 1477748119 | $1.0M |
| 18 | 1659319325 | $960K |
| 19 | 1164736146 | $864K |
| 20 | 1750517108 | $770K |
Showing top 20 of 364 providers billing this code