A6216
Gauze, non-impregnated, sterile
Gauze, non-impregnated, sterile is the #2,287 most-billed Medicaid procedure code, with $7.1M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $4.91. Costs vary widely — the 90th percentile is $11.61 per claim, 2.4× the median.
Total Paid
$7.1M
0.00% of all spending
Total Claims
1.4M
Providers
580
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for A6216? Based on 427 providers billing this code nationally.
Median
$4.91
Average
$5.89
Std Dev
$7.58
Max
$60.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.91 and $7.65 per claim for this code.
90% bill between $0.01 and $11.61.
Top 1% bill above $39.96.
About This Procedure
HCPCS code A6216 (Gauze, non-impregnated, sterile) was billed by 580 providers across 1.4M claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 874K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.91
Providers Billing
427
National Spending
$7.1M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6216
| # | Provider | Total Paid |
|---|---|---|
| 1 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $417K |
| 2 | 1639231483 | $362K |
| 3 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $317K |
| 4 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $306K |
| 5 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $282K |
| 6 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $277K |
| 7 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $235K |
| 8 | 1962440891 | $225K |
| 9 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $210K |
| 10 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $196K |
| 11 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $187K |
| 12 | 1427139641 | $170K |
| 13 | 1275647299 | $134K |
| 14 | 1346295953 | $123K |
| 15 | 1548367063 | $122K |
| 16 | 1275851800 | $119K |
| 17 | 1992764658 | $117K |
| 18 | 1710932173 | $108K |
| 19 | 1194790055 | $96K |
| 20 | 1922006741 | $95K |
Showing top 20 of 580 providers billing this code