A6255
HCPCS Procedure Code
HCPCS code A6255 is the #4,514 most-billed Medicaid procedure code, with $538K in payments across 4,969 claims from 2018–2024. The national median cost per claim is $7.85. Costs vary widely — the 90th percentile is $132.29 per claim, 16.9× the median.
Total Paid
$538K
0.00% of all spending
Total Claims
4,969
Providers
7
Avg Cost/Claim
$108
National Cost Distribution
How much do providers bill per claim for A6255? Based on 5 providers billing this code nationally.
Median
$7.85
Average
$53.67
Std Dev
$69.91
Max
$144.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.38 and $114.48 per claim for this code.
90% bill between $0.85 and $132.29.
Top 1% bill above $142.97.
About This Procedure
HCPCS code A6255 was billed by 7 providers across 4,969 claims, totaling $538K in Medicaid payments from 2018–2024. This code was used for 4,464 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.85
Providers Billing
5
National Spending
$538K
Avg/Median Ratio
6.84×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A6255
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639231483 | $521K |
| 2 | 1205976438 | $16K |
| 3 | 1205089026 | $1K |
| 4 | 1437588704 | $37 |
| 5 | 1720037799 | $17 |
| 6 | 1225086028 | $0 |
| 7 | 1235212721 | $0 |
Showing top 7 of 7 providers billing this code