X4530
HCPCS Procedure Code
HCPCS code X4530 is the #4,227 most-billed Medicaid procedure code, with $732K in payments across 21K claims from 2018–2024. The national median cost per claim is $31.45.
Total Paid
$732K
0.00% of all spending
Total Claims
21K
Providers
13
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for X4530? Based on 13 providers billing this code nationally.
Median
$31.45
Average
$35.65
Std Dev
$8.29
Max
$47.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.63 and $47.14 per claim for this code.
90% bill between $28.79 and $47.48.
Top 1% bill above $47.53.
About This Procedure
HCPCS code X4530 was billed by 13 providers across 21K claims, totaling $732K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.45
Providers Billing
13
National Spending
$732K
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for X4530
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1649366501 | $305K |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $217K |
| 3 | 1215993704 | $91K |
| 4 | 1831434497 | $65K |
| 5 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $22K |
| 6 | 1760491021 | $9K |
| 7 | 1700949336 | $7K |
| 8 | 1942236633 | $6K |
| 9 | 1437555265 | $5K |
| 10 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $4K |
| 11 | 1164577433 | $663 |
| 12 | 1598854846 | $418 |
| 13 | 1083709349 | $343 |
Showing top 13 of 13 providers billing this code