A6231
HCPCS Procedure Code
HCPCS code A6231 is the #5,790 most-billed Medicaid procedure code, with $137K in payments across 13K claims from 2018–2024. The national median cost per claim is $13.38. Costs vary widely — the 90th percentile is $35.42 per claim, 2.6× the median.
Total Paid
$137K
0.00% of all spending
Total Claims
13K
Providers
11
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for A6231? Based on 11 providers billing this code nationally.
Median
$13.38
Average
$24.80
Std Dev
$36.12
Max
$128.50
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.21 and $25.16 per claim for this code.
90% bill between $2.36 and $35.42.
Top 1% bill above $119.20.
About This Procedure
HCPCS code A6231 was billed by 11 providers across 13K claims, totaling $137K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.38
Providers Billing
11
National Spending
$137K
Avg/Median Ratio
1.85×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6231
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013124213 | $91K |
| 2 | 1730397175 | $38K |
| 3 | 1063771798 | $2K |
| 4 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $2K |
| 5 | 1992162911 | $1K |
| 6 | 1225413743 | $1K |
| 7 | 1710452701 | $474 |
| 8 | 1649244138 | $401 |
| 9 | 1700288941 | $309 |
| 10 | 1336750801 | $293 |
| 11 | 1700878840 | $82 |
Showing top 11 of 11 providers billing this code