A6549
HCPCS Procedure Code
HCPCS code A6549 is the #1,063 most-billed Medicaid procedure code, with $44.6M in payments across 130K claims from 2018–2024. The national median cost per claim is $190.50. Costs vary widely — the 90th percentile is $742.27 per claim, 3.9× the median.
Total Paid
$44.6M
0.00% of all spending
Total Claims
130K
Providers
84
Avg Cost/Claim
$342
National Cost Distribution
How much do providers bill per claim for A6549? Based on 82 providers billing this code nationally.
Median
$190.50
Average
$323.80
Std Dev
$300.25
Max
$1,499.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $116.48 and $481.65 per claim for this code.
90% bill between $50.83 and $742.27.
Top 1% bill above $1,157.20.
About This Procedure
HCPCS code A6549 was billed by 84 providers across 130K claims, totaling $44.6M in Medicaid payments from 2018–2024. This code was used for 101K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$190.50
Providers Billing
82
National Spending
$44.6M
Avg/Median Ratio
1.70×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for A6549
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427507383 | $13.5M |
| 2 | 1801183272 | $8.6M |
| 3 | 1083690127 | $3.1M |
| 4 | 1083604300 | $3.0M |
| 5 | 1639128796 | $2.3M |
| 6 | 1699734509 | $1.8M |
| 7 | 1124336722 | $1.6M |
| 8 | 1306825005 | $1.2M |
| 9 | 1376698696 | $686K |
| 10 | 1871776039 | $664K |
| 11 | 1497158554 | $644K |
| 12 | 1902986904 | $556K |
| 13 | 1114964491 | $549K |
| 14 | 1831258326 | $523K |
| 15 | 1184716672 | $522K |
| 16 | 1568509669 | $505K |
| 17 | 1689665911 | $458K |
| 18 | 1609105147 | $440K |
| 19 | 1730184409 | $399K |
| 20 | 1518985340 | $396K |
Showing top 20 of 84 providers billing this code