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#835 of 11K

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)

p10
$13.61
p25
$27.88
Median
$46.72
p75
$95.54
p90
$230.02
p95
$318.50
p99
$621.96

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

#ProviderTotal Paid
1Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$4.9M
2Option 1 Nutrition Solutions Llc

Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$4.2M
31689792178$3.9M
41710455027$3.7M
5Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$2.9M
6Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$2.7M
71407159817$2.5M
81144358839$2.4M
91194859629$2.2M
101629013156$2.1M
111043512114$1.3M
121013952613$1.3M
131871509489$1.2M
141457828055$1.2M
151801866173$1.1M
161306865340$1.0M
171477748119$1.0M
181659319325$960K
191164736146$864K
201750517108$770K

Showing top 20 of 364 providers billing this code