00813
HCPCS Procedure Code
HCPCS code 00813 is the #1,583 most-billed Medicaid procedure code, with $18.5M in payments across 271K claims from 2018–2024. The national median cost per claim is $71.82. Costs vary widely — the 90th percentile is $151.56 per claim, 2.1× the median.
Total Paid
$18.5M
0.00% of all spending
Total Claims
271K
Providers
758
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for 00813? Based on 703 providers billing this code nationally.
Median
$71.82
Average
$83.61
Std Dev
$61.07
Max
$503.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.21 and $111.19 per claim for this code.
90% bill between $23.08 and $151.56.
Top 1% bill above $306.18.
About This Procedure
HCPCS code 00813 was billed by 758 providers across 271K claims, totaling $18.5M in Medicaid payments from 2018–2024. This code was used for 227K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$71.82
Providers Billing
703
National Spending
$18.5M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00813
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447207147 | $491K |
| 2 | 1508947441 | $469K |
| 3 | 1952392946 | $457K |
| 4 | 1871986372 | $427K |
| 5 | 1609804541 | $414K |
| 6 | 1821127002 | $371K |
| 7 | 1417994872 | $351K |
| 8 | 1972126209 | $346K |
| 9 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $339K |
| 10 | 1356822902 | $313K |
| 11 | 1649264706 | $309K |
| 12 | 1144334228 | $275K |
| 13 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $249K |
| 14 | 1023124625 | $239K |
| 15 | 1801063755 | $236K |
| 16 | 1861662991 | $234K |
| 17 | 1558391763 | $227K |
| 18 | 1821448150 | $223K |
| 19 | 1720386402 | $216K |
| 20 | 1487677951 | $211K |
Showing top 20 of 758 providers billing this code