A6198
HCPCS Procedure Code
HCPCS code A6198 is the #4,113 most-billed Medicaid procedure code, with $836K in payments across 9K claims from 2018–2024. The national median cost per claim is $130.77. Costs vary widely — the 90th percentile is $419.10 per claim, 3.2× the median.
Total Paid
$836K
0.00% of all spending
Total Claims
9K
Providers
17
Avg Cost/Claim
$93
National Cost Distribution
How much do providers bill per claim for A6198? Based on 15 providers billing this code nationally.
Median
$130.77
Average
$202.86
Std Dev
$182.76
Max
$649.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $81.13 and $288.08 per claim for this code.
90% bill between $24.41 and $419.10.
Top 1% bill above $621.12.
About This Procedure
HCPCS code A6198 was billed by 17 providers across 9K claims, totaling $836K in Medicaid payments from 2018–2024. This code was used for 7K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$130.77
Providers Billing
15
National Spending
$836K
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6198
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780868877 | $174K |
| 2 | Integra Partners Llc Troy, MI · Orthotic Fitter | $151K |
| 3 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $121K |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $112K |
| 5 | 1730397175 | $89K |
| 6 | 1649244138 | $49K |
| 7 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $35K |
| 8 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $30K |
| 9 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $23K |
| 10 | 1275944514 | $15K |
| 11 | 1013124213 | $14K |
| 12 | 1275851800 | $10K |
| 13 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $7K |
| 14 | 1710452701 | $7K |
| 15 | Carilion Medical Center Roanoke, VA · General Acute Care Hospital | $369 |
| 16 | 1770693939 | $0 |
| 17 | 1811957681 | $0 |
Showing top 17 of 17 providers billing this code