A6224
HCPCS Procedure Code
HCPCS code A6224 is the #4,427 most-billed Medicaid procedure code, with $597K in payments across 4,540 claims from 2018–2024. The national median cost per claim is $40.10. Costs vary widely — the 90th percentile is $122.27 per claim, 3.0× the median.
Total Paid
$597K
0.00% of all spending
Total Claims
4,540
Providers
11
Avg Cost/Claim
$132
National Cost Distribution
How much do providers bill per claim for A6224? Based on 10 providers billing this code nationally.
Median
$40.10
Average
$69.56
Std Dev
$93.63
Max
$326.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.73 and $51.25 per claim for this code.
90% bill between $11.48 and $122.27.
Top 1% bill above $305.92.
About This Procedure
HCPCS code A6224 was billed by 11 providers across 4,540 claims, totaling $597K in Medicaid payments from 2018–2024. This code was used for 3,632 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.10
Providers Billing
10
National Spending
$597K
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6224
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326274655 | $452K |
| 2 | 1245277623 | $81K |
| 3 | 1548367063 | $50K |
| 4 | 1801828389 | $5K |
| 5 | 1588947246 | $2K |
| 6 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2K |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $2K |
| 8 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $2K |
| 9 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $580 |
| 10 | 1104440981 | $513 |
| 11 | 1477561983 | $0 |
Showing top 11 of 11 providers billing this code