A4393
HCPCS Procedure Code
HCPCS code A4393 is the #4,376 most-billed Medicaid procedure code, with $624K in payments across 9,139 claims from 2018–2024. The national median cost per claim is $68.48. Costs vary widely — the 90th percentile is $137.01 per claim, 2.0× the median.
Total Paid
$624K
0.00% of all spending
Total Claims
9,139
Providers
15
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for A4393? Based on 15 providers billing this code nationally.
Median
$68.48
Average
$88.34
Std Dev
$61.36
Max
$281.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.80 and $94.40 per claim for this code.
90% bill between $47.53 and $137.01.
Top 1% bill above $261.66.
About This Procedure
HCPCS code A4393 was billed by 15 providers across 9,139 claims, totaling $624K in Medicaid payments from 2018–2024. This code was used for 7,901 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$68.48
Providers Billing
15
National Spending
$624K
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4393
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $252K |
| 2 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $110K |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $74K |
| 4 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $45K |
| 5 | 1992891238 | $42K |
| 6 | 1568083087 | $36K |
| 7 | 1881698439 | $17K |
| 8 | 1346295953 | $11K |
| 9 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $11K |
| 10 | 1023063641 | $10K |
| 11 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $6K |
| 12 | 1710932173 | $5K |
| 13 | 1922006741 | $4K |
| 14 | 1427139641 | $3K |
| 15 | 1649244138 | $423 |
Showing top 15 of 15 providers billing this code