#2168 of 11K

K0006

HCPCS Procedure Code

HCPCS code K0006 is the #2,168 most-billed Medicaid procedure code, with $8.3M in payments across 223K claims from 2018–2024. The national median cost per claim is $31.81. Costs vary widely — the 90th percentile is $72.89 per claim, 2.3× the median.

Total Paid

$8.3M

0.00% of all spending

Total Claims

223K

Providers

275

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for K0006? Based on 268 providers billing this code nationally.

Median

$31.81

Average

$39.01

Std Dev

$28.26

Max

$192.26

Percentile Distribution (Cost per Claim)

p10

$11.62

p25

$19.89

Median

$31.81

p75

$52.34

p90

$72.89

p95

$91.94

p99

$136.98

50% of providers bill between $19.89 and $52.34 per claim for this code.

90% bill between $11.62 and $72.89.

Top 1% bill above $136.98.

About This Procedure

HCPCS code K0006 was billed by 275 providers across 223K claims, totaling $8.3M in Medicaid payments from 2018–2024. This code was used for 201K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.81

Providers Billing

268

National Spending

$8.3M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0006

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$971K	$61.50	1.9× median	Above 75th
2	H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies	$529K	$44.86	1.4× median	Above Median
3	Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier	$355K	$29.30	0.9× median	Below Median
4	1730182023	$259K	$29.37	0.9× median	Below Median
5	1407894348	$244K	$51.28	1.6× median	Above Median
6	1174749972	$221K	$50.73	1.6× median	Above Median
7	1083612022	$215K	$97.68	3.1× median	Top 10%
8	1669570172	$178K	$122.52	3.9× median	Top 10%
9	Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$171K	$50.87	1.6× median	Above Median
10	1013072214	$154K	$39.73	1.2× median	Above Median
11	1174505549	$141K	$29.81	0.9× median	Below Median
12	1326077249	$137K	$49.52	1.6× median	Above Median
13	Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies	$132K	$55.53	1.7× median	Above 75th
14	1972554939	$126K	$70.73	2.2× median	Above 75th
15	1184716672	$126K	$67.43	2.1× median	Above 75th
16	1831289826	$125K	$62.79	2.0× median	Above 75th
17	1255632394	$115K	$56.84	1.8× median	Above 75th
18	Integra Partners Llc Troy, MI · Orthotic Fitter	$110K	$58.61	1.8× median	Above 75th
19	1750331484	$109K	$36.42	1.1× median	Above Median
20	1669844650	$105K	$88.69	2.8× median	Top 10%

Showing top 20 of 275 providers billing this code

Related Procedures

K0001Standard wheelchair$102.8M K0005$46.6M K0003$32.9M K0007$11.4M K0004$9.3M

← All procedures Top providers →