A4606
HCPCS Procedure Code
HCPCS code A4606 is the #859 most-billed Medicaid procedure code, with $66.4M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $50.63. Costs vary widely — the 90th percentile is $132.71 per claim, 2.6× the median.
Total Paid
$66.4M
0.01% of all spending
Total Claims
1.1M
Providers
288
Avg Cost/Claim
$60
National Cost Distribution
How much do providers bill per claim for A4606? Based on 279 providers billing this code nationally.
Median
$50.63
Average
$64.16
Std Dev
$65.81
Max
$633.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.30 and $85.94 per claim for this code.
90% bill between $6.37 and $132.71.
Top 1% bill above $289.95.
About This Procedure
HCPCS code A4606 was billed by 288 providers across 1.1M claims, totaling $66.4M in Medicaid payments from 2018–2024. This code was used for 636K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.63
Providers Billing
279
National Spending
$66.4M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4606
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $4.8M |
| 2 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $3.7M |
| 3 | 1760513923 | $2.9M |
| 4 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $2.2M |
| 5 | 1861480048 | $2.2M |
| 6 | 1538128293 | $1.7M |
| 7 | 1912923301 | $1.6M |
| 8 | 1528037538 | $1.6M |
| 9 | 1477748119 | $1.5M |
| 10 | 1497810048 | $1.5M |
| 11 | 1013952613 | $1.5M |
| 12 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $1.4M |
| 13 | 1316364011 | $1.4M |
| 14 | 1922103142 | $1.4M |
| 15 | The Promptcare Companies, Inc. King Of Prussia, PA · Durable Medical Equipment & Medical Supplies | $1.3M |
| 16 | 1073680799 | $1.3M |
| 17 | 1942365598 | $1.2M |
| 18 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $1.2M |
| 19 | 1407159817 | $1.2M |
| 20 | 1750608147 | $1.1M |
Showing top 20 of 288 providers billing this code