A6212
HCPCS Procedure Code
HCPCS code A6212 is the #908 most-billed Medicaid procedure code, with $60.0M in payments across 731K claims from 2018–2024. The national median cost per claim is $76.51. Costs vary widely — the 90th percentile is $214.99 per claim, 2.8× the median.
Total Paid
$60.0M
0.01% of all spending
Total Claims
731K
Providers
349
Avg Cost/Claim
$82
National Cost Distribution
How much do providers bill per claim for A6212? Based on 313 providers billing this code nationally.
Median
$76.51
Average
$96.65
Std Dev
$90.21
Max
$566.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.09 and $137.92 per claim for this code.
90% bill between $3.26 and $214.99.
Top 1% bill above $388.66.
About This Procedure
HCPCS code A6212 was billed by 349 providers across 731K claims, totaling $60.0M in Medicaid payments from 2018–2024. This code was used for 612K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$76.51
Providers Billing
313
National Spending
$60.0M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6212
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $3.9M |
| 2 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $3.5M |
| 3 | 1649244138 | $3.4M |
| 4 | 1548367063 | $3.1M |
| 5 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $2.5M |
| 6 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $2.5M |
| 7 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $2.4M |
| 8 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $2.2M |
| 9 | 1427139641 | $1.6M |
| 10 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $1.5M |
| 11 | 1013124213 | $1.5M |
| 12 | 1710932173 | $1.5M |
| 13 | 1609024397 | $1.4M |
| 14 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $1.2M |
| 15 | 1679653356 | $1.2M |
| 16 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $1.1M |
| 17 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $977K |
| 18 | 1275703084 | $900K |
| 19 | 1730174764 | $859K |
| 20 | 1346295953 | $842K |
Showing top 20 of 349 providers billing this code