A6449
HCPCS Procedure Code
HCPCS code A6449 is the #2,363 most-billed Medicaid procedure code, with $6.3M in payments across 244K claims from 2018–2024. The national median cost per claim is $5.88. Costs vary widely — the 90th percentile is $54.33 per claim, 9.2× the median.
Total Paid
$6.3M
0.00% of all spending
Total Claims
244K
Providers
246
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for A6449? Based on 199 providers billing this code nationally.
Median
$5.88
Average
$19.49
Std Dev
$43.26
Max
$524.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.08 and $26.40 per claim for this code.
90% bill between $0.14 and $54.33.
Top 1% bill above $113.93.
About This Procedure
HCPCS code A6449 was billed by 246 providers across 244K claims, totaling $6.3M in Medicaid payments from 2018–2024. This code was used for 209K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.88
Providers Billing
199
National Spending
$6.3M
Avg/Median Ratio
3.31×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A6449
| # | Provider | Total Paid |
|---|---|---|
| 1 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $679K |
| 2 | 1649244138 | $516K |
| 3 | 1548367063 | $509K |
| 4 | 1427139641 | $407K |
| 5 | 1710932173 | $384K |
| 6 | 1013124213 | $342K |
| 7 | 1174745335 | $273K |
| 8 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $231K |
| 9 | 1346295953 | $226K |
| 10 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $217K |
| 11 | 1023438538 | $209K |
| 12 | 1609024397 | $172K |
| 13 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $166K |
| 14 | 1912952375 | $160K |
| 15 | 1699756221 | $132K |
| 16 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $117K |
| 17 | 1679653356 | $105K |
| 18 | 1174632368 | $105K |
| 19 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $94K |
| 20 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $89K |
Showing top 20 of 246 providers billing this code