A6229
HCPCS Procedure Code
HCPCS code A6229 is the #4,387 most-billed Medicaid procedure code, with $619K in payments across 4,284 claims from 2018–2024. The national median cost per claim is $93.21. Costs vary widely — the 90th percentile is $247.54 per claim, 2.7× the median.
Total Paid
$619K
0.00% of all spending
Total Claims
4,284
Providers
5
Avg Cost/Claim
$145
National Cost Distribution
How much do providers bill per claim for A6229? Based on 5 providers billing this code nationally.
Median
$93.21
Average
$145.18
Std Dev
$94.72
Max
$248.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $88.87 and $245.68 per claim for this code.
90% bill between $65.16 and $247.54.
Top 1% bill above $248.66.
About This Procedure
HCPCS code A6229 was billed by 5 providers across 4,284 claims, totaling $619K in Medicaid payments from 2018–2024. This code was used for 3,742 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$93.21
Providers Billing
5
National Spending
$619K
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6229
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578521274 | $339K |
| 2 | 1447374780 | $181K |
| 3 | 1396290417 | $69K |
| 4 | 1063974285 | $30K |
| 5 | 1396824215 | $592 |
Showing top 5 of 5 providers billing this code