#3450 of 11K

X4500

HCPCS Procedure Code

HCPCS code X4500 is the #3,450 most-billed Medicaid procedure code, with $1.7M in payments across 19K claims from 2018–2024. The national median cost per claim is $65.47.

Total Paid

$1.7M

0.00% of all spending

Total Claims

19K

Providers

Avg Cost/Claim

$87

National Cost Distribution

How much do providers bill per claim for X4500? Based on 21 providers billing this code nationally.

Median

$65.47

Average

$72.38

Std Dev

$15.38

Max

$94.74

Percentile Distribution (Cost per Claim)

p10

$59.33

p25

$60.84

Median

$65.47

p75

$93.82

p90

$94.56

p95

$94.70

p99

$94.73

50% of providers bill between $60.84 and $93.82 per claim for this code.

90% bill between $59.33 and $94.56.

Top 1% bill above $94.73.

About This Procedure

HCPCS code X4500 was billed by 21 providers across 19K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.47

Providers Billing

National Spending

$1.7M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X4500

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$822K	$94.24	1.4× median	Above 75th
2	Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator	$406K	$93.82	1.4× median	Above Median
3	1811946734	$100K	$94.70	1.4× median	Top 10%
4	1952777245	$61K	$94.56	1.4× median	Above 75th
5	1831434497	$47K	$63.73	1.0× median	Below Median
6	1386162949	$36K	$61.81	0.9× median	Below Median
7	1275583205	$33K	$59.33	0.9× median	Below Median
8	1164577433	$28K	$65.47	1.0× median	Below Median
9	1366489197	$25K	$64.32	1.0× median	Below Median
10	1134218332	$23K	$65.82	1.0× median	Above Median
11	1740632397	$20K	$55.00	0.8× median	Below Median
12	1760491021	$12K	$58.85	0.9× median	Below Median
13	1700949336	$12K	$94.55	1.4× median	Above 75th
14	1770747552	$11K	$66.05	1.0× median	Above Median
15	1942236633	$10K	$65.60	1.0× median	Above Median
16	1649366501	$9K	$60.04	0.9× median	Below Median
17	1730571332	$8K	$61.86	0.9× median	Below Median
18	1710065933	$6K	$85.24	1.3× median	Above Median
19	1467442749	$4K	$94.74	1.4× median	Top 1%
20	1437555265	$2K	$60.84	0.9× median	Below Median

Showing top 20 of 21 providers billing this code

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