A6413
HCPCS Procedure Code
HCPCS code A6413 is the #6,710 most-billed Medicaid procedure code, with $47K in payments across 97K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $8.80 per claim, 293.3× the median.
Total Paid
$47K
0.00% of all spending
Total Claims
97K
Providers
60
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for A6413? Based on 18 providers billing this code nationally.
Median
$0.03
Average
$1.81
Std Dev
$3.90
Max
$12.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $0.41 per claim for this code.
90% bill between $0.00 and $8.80.
Top 1% bill above $11.78.
About This Procedure
HCPCS code A6413 was billed by 60 providers across 97K claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 93K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.03
Providers Billing
18
National Spending
$47K
Avg/Median Ratio
60.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A6413
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $30K |
| 2 | 1336736115 | $14K |
| 3 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $2K |
| 4 | 1477673077 | $80 |
| 5 | 1528102787 | $70 |
| 6 | 1245834779 | $64 |
| 7 | 1942421615 | $28 |
| 8 | 1346493962 | $22 |
| 9 | 1659001865 | $20 |
| 10 | 1447330766 | $20 |
| 11 | 1083623409 | $18 |
| 12 | 1639137078 | $14 |
| 13 | 1538466107 | $12 |
| 14 | 1144394784 | $7 |
| 15 | 1770993453 | $6 |
| 16 | 1588957658 | $0 |
| 17 | 1790714962 | $0 |
| 18 | 1972556603 | $0 |
| 19 | 1083805741 | $0 |
| 20 | 1144298175 | $0 |
Showing top 20 of 60 providers billing this code