X4542
HCPCS Procedure Code
HCPCS code X4542 is the #5,821 most-billed Medicaid procedure code, with $133K in payments across 2,756 claims from 2018–2024. The national median cost per claim is $40.65.
Total Paid
$133K
0.00% of all spending
Total Claims
2,756
Providers
6
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for X4542? Based on 6 providers billing this code nationally.
Median
$40.65
Average
$44.38
Std Dev
$8.84
Max
$60.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.54 and $46.16 per claim for this code.
90% bill between $38.38 and $54.11.
Top 1% bill above $60.24.
About This Procedure
HCPCS code X4542 was billed by 6 providers across 2,756 claims, totaling $133K in Medicaid payments from 2018–2024. This code was used for 2,714 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.65
Providers Billing
6
National Spending
$133K
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for X4542
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $65K |
| 2 | 1902846306 | $33K |
| 3 | 1134218332 | $13K |
| 4 | 1760491021 | $12K |
| 5 | 1710065933 | $9K |
| 6 | 1962800235 | $925 |
Showing top 6 of 6 providers billing this code