B4220
HCPCS Procedure Code
HCPCS code B4220 is the #2,130 most-billed Medicaid procedure code, with $8.7M in payments across 365K claims from 2018–2024. The national median cost per claim is $27.49.
Total Paid
$8.7M
0.00% of all spending
Total Claims
365K
Providers
99
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for B4220? Based on 98 providers billing this code nationally.
Median
$27.49
Average
$33.44
Std Dev
$38.87
Max
$338.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.01 and $37.03 per claim for this code.
90% bill between $8.21 and $52.57.
Top 1% bill above $161.28.
About This Procedure
HCPCS code B4220 was billed by 99 providers across 365K claims, totaling $8.7M in Medicaid payments from 2018–2024. This code was used for 70K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.49
Providers Billing
98
National Spending
$8.7M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4220
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164735379 | $519K |
| 2 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $509K |
| 3 | 1619316981 | $472K |
| 4 | 1760425011 | $468K |
| 5 | 1912930736 | $412K |
| 6 | 1326096629 | $359K |
| 7 | 1609899590 | $314K |
| 8 | 1750686432 | $289K |
| 9 | 1629174214 | $286K |
| 10 | 1457395394 | $284K |
| 11 | 1083775621 | $266K |
| 12 | Optum Infusion Services 308 Llc Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy | $257K |
| 13 | 1992908743 | $239K |
| 14 | 1891703575 | $228K |
| 15 | 1457872632 | $226K |
| 16 | 1285687749 | $225K |
| 17 | 1770528994 | $218K |
| 18 | 1750517108 | $206K |
| 19 | 1811085103 | $204K |
| 20 | 1710057500 | $203K |
Showing top 20 of 99 providers billing this code