A4459
Manual wheelchair accessory, not otherwise specified
Manual wheelchair accessory, not otherwise specified is the #2,436 most-billed Medicaid procedure code, with $5.8M in payments across 13K claims from 2018–2024. The national median cost per claim is $213.21. Costs vary widely — the 90th percentile is $948.09 per claim, 4.4× the median.
Total Paid
$5.8M
0.00% of all spending
Total Claims
13K
Providers
13
Avg Cost/Claim
$455
National Cost Distribution
How much do providers bill per claim for A4459? Based on 13 providers billing this code nationally.
Median
$213.21
Average
$481.62
Std Dev
$586.72
Max
$2,169.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $114.46 and $564.03 per claim for this code.
90% bill between $102.07 and $948.09.
Top 1% bill above $2,026.20.
About This Procedure
HCPCS code A4459 (Manual wheelchair accessory, not otherwise specified) was billed by 13 providers across 13K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$213.21
Providers Billing
13
National Spending
$5.8M
Avg/Median Ratio
2.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A4459
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992891238 | $4.2M |
| 2 | 1689147043 | $461K |
| 3 | 1477534717 | $453K |
| 4 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $356K |
| 5 | 1164873865 | $106K |
| 6 | 1942266473 | $87K |
| 7 | 1811941487 | $40K |
| 8 | 1588155857 | $29K |
| 9 | 1427081934 | $18K |
| 10 | 1811280498 | $15K |
| 11 | 1902829500 | $7K |
| 12 | 1710932173 | $5K |
| 13 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $4K |
Showing top 13 of 13 providers billing this code