0023
HCPCS Procedure Code
HCPCS code 0023 is the #6,623 most-billed Medicaid procedure code, with $51K in payments across 36K claims from 2018–2024. The national median cost per claim is $5.53. Costs vary widely — the 90th percentile is $72.50 per claim, 13.1× the median.
Total Paid
$51K
0.00% of all spending
Total Claims
36K
Providers
81
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 0023? Based on 13 providers billing this code nationally.
Median
$5.53
Average
$26.31
Std Dev
$51.02
Max
$178.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.86 and $14.04 per claim for this code.
90% bill between $0.43 and $72.50.
Top 1% bill above $167.08.
About This Procedure
HCPCS code 0023 was billed by 81 providers across 36K claims, totaling $51K in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.53
Providers Billing
13
National Spending
$51K
Avg/Median Ratio
4.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0023
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972984227 | $9K |
| 2 | 1194812255 | $9K |
| 3 | 1700281037 | $6K |
| 4 | 1003215518 | $6K |
| 5 | 1154387926 | $6K |
| 6 | 1336173269 | $4K |
| 7 | 1679087001 | $3K |
| 8 | 1194899138 | $3K |
| 9 | 1952485690 | $2K |
| 10 | 1194282129 | $2K |
| 11 | 1952707382 | $2K |
| 12 | 1134287303 | $259 |
| 13 | 1821043332 | $69 |
| 14 | 1073727558 | $0 |
| 15 | 1902321383 | $0 |
| 16 | 1104067578 | $0 |
| 17 | 1376626903 | $0 |
| 18 | 1740242718 | $0 |
| 19 | 1811076870 | $0 |
| 20 | 1780703785 | $0 |
Showing top 20 of 81 providers billing this code