#3678 of 11K

A6220

HCPCS Procedure Code

HCPCS code A6220 is the #3,678 most-billed Medicaid procedure code, with $1.3M in payments across 47K claims from 2018–2024. The national median cost per claim is $23.63. Costs vary widely — the 90th percentile is $79.16 per claim, 3.3× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

47K

Providers

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for A6220? Based on 58 providers billing this code nationally.

Median

$23.63

Average

$35.28

Std Dev

$40.29

Max

$166.41

Percentile Distribution (Cost per Claim)

p10

$1.09

p25

$3.93

Median

$23.63

p75

$50.35

p90

$79.16

p95

$111.18

p99

$164.02

50% of providers bill between $3.93 and $50.35 per claim for this code.

90% bill between $1.09 and $79.16.

Top 1% bill above $164.02.

About This Procedure

HCPCS code A6220 was billed by 60 providers across 47K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.63

Providers Billing

National Spending

$1.3M

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for A6220

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1437223500	$490K	$162.22	6.9× median	Top 10%
2	Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies	$106K	$45.15	1.9× median	Above Median
3	1356530521	$95K	$166.41	7.0× median	Top 1%
4	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$94K	$51.31	2.2× median	Above 75th
5	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$93K	$71.40	3.0× median	Above 75th
6	1730397175	$83K	$8.47	0.4× median	Below Median
7	Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies	$73K	$64.85	2.7× median	Above 75th
8	1649244138	$73K	$35.44	1.5× median	Above Median
9	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$30K	$106.37	4.5× median	Top 10%
10	1184722043	$26K	$32.89	1.4× median	Above Median
11	1710932173	$26K	$36.87	1.6× median	Above Median
12	1548367063	$19K	$27.10	1.1× median	Above Median
13	1932566858	$16K	$72.20	3.1× median	Above 75th
14	1346295953	$12K	$62.23	2.6× median	Above 75th
15	1710452701	$11K	$9.78	0.4× median	Below Median
16	1164464707	$11K	$38.57	1.6× median	Above Median
17	1023054871	$10K	$44.33	1.9× median	Above Median
18	1205834322	$8K	$102.94	4.4× median	Top 10%
19	1962515783	$7K	$13.94	0.6× median	Below Median
20	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$6K	$47.47	2.0× median	Above Median

Showing top 20 of 60 providers billing this code

Related Procedures

A6212$60.0M A6210$34.5M A6211$14.6M A6213$13.1M A6216Gauze, non-impregnated, sterile$7.1M

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