A7013
HCPCS Procedure Code
HCPCS code A7013 is the #4,634 most-billed Medicaid procedure code, with $476K in payments across 572K claims from 2018–2024. The national median cost per claim is $0.48. Costs vary widely — the 90th percentile is $1.23 per claim, 2.6× the median.
Total Paid
$476K
0.00% of all spending
Total Claims
572K
Providers
600
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for A7013? Based on 590 providers billing this code nationally.
Median
$0.48
Average
$0.79
Std Dev
$1.54
Max
$22.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.32 and $0.79 per claim for this code.
90% bill between $0.18 and $1.23.
Top 1% bill above $8.19.
About This Procedure
HCPCS code A7013 was billed by 600 providers across 572K claims, totaling $476K in Medicaid payments from 2018–2024. This code was used for 511K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.48
Providers Billing
590
National Spending
$476K
Avg/Median Ratio
1.65×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A7013
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1033157524 | $80K |
| 2 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $39K |
| 3 | 1902137409 | $25K |
| 4 | 1750608147 | $25K |
| 5 | 1861480048 | $21K |
| 6 | 1447556675 | $12K |
| 7 | 1811097504 | $11K |
| 8 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $11K |
| 9 | 1053364695 | $9K |
| 10 | 1043317761 | $9K |
| 11 | 1770585986 | $9K |
| 12 | 1801866173 | $8K |
| 13 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $7K |
| 14 | 1023278926 | $7K |
| 15 | 1902829500 | $6K |
| 16 | 1366653545 | $5K |
| 17 | 1093772675 | $5K |
| 18 | 1164612040 | $5K |
| 19 | 1396969978 | $4K |
| 20 | 1235189366 | $4K |
Showing top 20 of 600 providers billing this code