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#4596 of 11K

A6214

HCPCS Procedure Code

HCPCS code A6214 is the #4,596 most-billed Medicaid procedure code, with $496K in payments across 4,683 claims from 2018–2024. The national median cost per claim is $87.81. Costs vary widely — the 90th percentile is $243.95 per claim, 2.8× the median.

Total Paid

$496K

0.00% of all spending

Total Claims

4,683

Providers

13

Avg Cost/Claim

$106

National Cost Distribution

How much do providers bill per claim for A6214? Based on 9 providers billing this code nationally.

Median

$87.81

Average

$121.55

Std Dev

$148.89

Max

$480.60

Percentile Distribution (Cost per Claim)

p10
$17.98
p25
$27.46
Median
$87.81
p75
$158.83
p90
$243.95
p95
$362.27
p99
$456.93

50% of providers bill between $27.46 and $158.83 per claim for this code.

90% bill between $17.98 and $243.95.

Top 1% bill above $456.93.

About This Procedure

HCPCS code A6214 was billed by 13 providers across 4,683 claims, totaling $496K in Medicaid payments from 2018–2024. This code was used for 4,093 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$87.81

Providers Billing

9

National Spending

$496K

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6214

#ProviderTotal Paid
11932566858$317K
21144207911$54K
31801866173$40K
41629007745$38K
51518670744$23K
61730397175$20K
71710978390$4K
81013386143$768
91649244138$577
101811957681$0
11Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$0
12The Hospital Of Central Connecticut At New Britain General And Bradley

New Britain, CT · General Acute Care Hospital

$0
13Hartford Hospital

Hartford, CT · General Acute Care Hospital

$0

Showing top 13 of 13 providers billing this code