A6213
HCPCS Procedure Code
HCPCS code A6213 is the #1,830 most-billed Medicaid procedure code, with $13.1M in payments across 99K claims from 2018–2024. The national median cost per claim is $95.60. Costs vary widely — the 90th percentile is $294.99 per claim, 3.1× the median.
Total Paid
$13.1M
0.00% of all spending
Total Claims
99K
Providers
97
Avg Cost/Claim
$133
National Cost Distribution
How much do providers bill per claim for A6213? Based on 85 providers billing this code nationally.
Median
$95.60
Average
$128.71
Std Dev
$132.27
Max
$718.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.89 and $171.87 per claim for this code.
90% bill between $3.71 and $294.99.
Top 1% bill above $523.18.
About This Procedure
HCPCS code A6213 was billed by 97 providers across 99K claims, totaling $13.1M in Medicaid payments from 2018–2024. This code was used for 80K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$95.60
Providers Billing
85
National Spending
$13.1M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A6213
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $1.2M |
| 2 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $1.2M |
| 3 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $998K |
| 4 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $985K |
| 5 | 1275647299 | $868K |
| 6 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $753K |
| 7 | 1427139641 | $706K |
| 8 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $677K |
| 9 | 1023054871 | $618K |
| 10 | 1710932173 | $587K |
| 11 | 1649244138 | $501K |
| 12 | 1093229320 | $452K |
| 13 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $403K |
| 14 | 1609024397 | $321K |
| 15 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $299K |
| 16 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $255K |
| 17 | 1346295953 | $235K |
| 18 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $226K |
| 19 | 1912952375 | $170K |
| 20 | 1124132154 | $155K |
Showing top 20 of 97 providers billing this code