A4413
HCPCS Procedure Code
HCPCS code A4413 is the #4,480 most-billed Medicaid procedure code, with $561K in payments across 8,190 claims from 2018–2024. The national median cost per claim is $50.88. Costs vary widely — the 90th percentile is $277.64 per claim, 5.5× the median.
Total Paid
$561K
0.00% of all spending
Total Claims
8,190
Providers
14
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for A4413? Based on 14 providers billing this code nationally.
Median
$50.88
Average
$125.76
Std Dev
$206.34
Max
$781.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.83 and $87.31 per claim for this code.
90% bill between $27.21 and $277.64.
Top 1% bill above $725.63.
About This Procedure
HCPCS code A4413 was billed by 14 providers across 8,190 claims, totaling $561K in Medicaid payments from 2018–2024. This code was used for 6,798 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.88
Providers Billing
14
National Spending
$561K
Avg/Median Ratio
2.47×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4413
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $131K |
| 2 | 1386672988 | $119K |
| 3 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $102K |
| 4 | 1457772535 | $59K |
| 5 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $54K |
| 6 | 1649244138 | $28K |
| 7 | 1881698439 | $22K |
| 8 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $15K |
| 9 | 1992891238 | $12K |
| 10 | 1609024397 | $8K |
| 11 | 1275851800 | $5K |
| 12 | 1710932173 | $3K |
| 13 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $1K |
| 14 | 1568083087 | $1K |
Showing top 14 of 14 providers billing this code