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#1295 of 11K

B4224

HCPCS Procedure Code

HCPCS code B4224 is the #1,295 most-billed Medicaid procedure code, with $28.6M in payments across 517K claims from 2018–2024. The national median cost per claim is $78.83.

Total Paid

$28.6M

0.00% of all spending

Total Claims

517K

Providers

103

Avg Cost/Claim

$55

National Cost Distribution

How much do providers bill per claim for B4224? Based on 102 providers billing this code nationally.

Median

$78.83

Average

$86.94

Std Dev

$66.68

Max

$497.25

Percentile Distribution (Cost per Claim)

p10
$22.66
p25
$40.67
Median
$78.83
p75
$113.35
p90
$150.48
p95
$190.59
p99
$244.32

50% of providers bill between $40.67 and $113.35 per claim for this code.

90% bill between $22.66 and $150.48.

Top 1% bill above $244.32.

About This Procedure

HCPCS code B4224 was billed by 103 providers across 517K claims, totaling $28.6M in Medicaid payments from 2018–2024. This code was used for 78K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.83

Providers Billing

102

National Spending

$28.6M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4224

#ProviderTotal Paid
11346270527$2.8M
2Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$1.6M
31760425011$1.5M
41912930736$1.3M
51326096629$1.1M
61770528994$1.1M
71417978479$954K
81750686432$928K
91629174214$902K
101457395394$881K
111083775621$877K
12Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$805K
131750396461$782K
141619316981$734K
151285687749$706K
161609899590$703K
171891703575$703K
181457872632$701K
191750517108$644K
201811085103$637K

Showing top 20 of 103 providers billing this code

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