A6454
HCPCS Procedure Code
HCPCS code A6454 is the #3,009 most-billed Medicaid procedure code, with $2.8M in payments across 127K claims from 2018–2024. The national median cost per claim is $15.74. Costs vary widely — the 90th percentile is $56.08 per claim, 3.6× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
127K
Providers
99
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for A6454? Based on 86 providers billing this code nationally.
Median
$15.74
Average
$27.03
Std Dev
$50.51
Max
$427.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.34 and $32.78 per claim for this code.
90% bill between $0.18 and $56.08.
Top 1% bill above $187.54.
About This Procedure
HCPCS code A6454 was billed by 99 providers across 127K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 105K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.74
Providers Billing
86
National Spending
$2.8M
Avg/Median Ratio
1.72×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6454
| # | Provider | Total Paid |
|---|---|---|
| 1 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $350K |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $229K |
| 3 | 1548367063 | $226K |
| 4 | 1275647299 | $168K |
| 5 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $139K |
| 6 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $130K |
| 7 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $121K |
| 8 | 1609024397 | $111K |
| 9 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $101K |
| 10 | 1427139641 | $92K |
| 11 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $89K |
| 12 | 1013124213 | $79K |
| 13 | 1649244138 | $73K |
| 14 | 1710932173 | $73K |
| 15 | 1679653356 | $71K |
| 16 | 1942251848 | $68K |
| 17 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $67K |
| 18 | 1346295953 | $61K |
| 19 | 1275703084 | $54K |
| 20 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $42K |
Showing top 20 of 99 providers billing this code