A6455
HCPCS Procedure Code
HCPCS code A6455 is the #4,740 most-billed Medicaid procedure code, with $424K in payments across 6,971 claims from 2018–2024. The national median cost per claim is $2.55. Costs vary widely — the 90th percentile is $55.12 per claim, 21.6× the median.
Total Paid
$424K
0.00% of all spending
Total Claims
6,971
Providers
19
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for A6455? Based on 13 providers billing this code nationally.
Median
$2.55
Average
$29.95
Std Dev
$51.17
Max
$185.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.44 and $39.36 per claim for this code.
90% bill between $0.03 and $55.12.
Top 1% bill above $170.33.
About This Procedure
HCPCS code A6455 was billed by 19 providers across 6,971 claims, totaling $424K in Medicaid payments from 2018–2024. This code was used for 6,610 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.55
Providers Billing
13
National Spending
$424K
Avg/Median Ratio
11.75×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A6455
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639231483 | $210K |
| 2 | 1174745335 | $207K |
| 3 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $2K |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $2K |
| 5 | 1710932173 | $798 |
| 6 | 1730397175 | $438 |
| 7 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $349 |
| 8 | 1124333497 | $166 |
| 9 | 1437628385 | $105 |
| 10 | 1376597427 | $60 |
| 11 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $17 |
| 12 | 1881929586 | $10 |
| 13 | 1083623409 | $7 |
| 14 | 1588668842 | $0 |
| 15 | 1790706901 | $0 |
| 16 | 1831193499 | $0 |
| 17 | 1831132133 | $0 |
| 18 | 1780039966 | $0 |
| 19 | 1083006738 | $0 |
Showing top 19 of 19 providers billing this code