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#6478 of 11K

B4216

HCPCS Procedure Code

HCPCS code B4216 is the #6,478 most-billed Medicaid procedure code, with $62K in payments across 1K claims from 2018–2024. The national median cost per claim is $59.42.

Total Paid

$62K

0.00% of all spending

Total Claims

1K

Providers

3

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for B4216? Based on 3 providers billing this code nationally.

Median

$59.42

Average

$53.44

Std Dev

$13.13

Max

$62.51

Percentile Distribution (Cost per Claim)

p10
$42.59
p25
$48.90
Median
$59.42
p75
$60.96
p90
$61.89
p95
$62.20
p99
$62.44

50% of providers bill between $48.90 and $60.96 per claim for this code.

90% bill between $42.59 and $61.89.

Top 1% bill above $62.44.

About This Procedure

HCPCS code B4216 was billed by 3 providers across 1K claims, totaling $62K in Medicaid payments from 2018–2024. This code was used for 492 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$59.42

Providers Billing

3

National Spending

$62K

Avg/Median Ratio

0.90×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.