00862
HCPCS Procedure Code
HCPCS code 00862 is the #7,125 most-billed Medicaid procedure code, with $27K in payments across 210 claims from 2018–2024. The national median cost per claim is $97.91.
Total Paid
$27K
0.00% of all spending
Total Claims
210
Providers
5
Avg Cost/Claim
$130
National Cost Distribution
How much do providers bill per claim for 00862? Based on 5 providers billing this code nationally.
Median
$97.91
Average
$128.21
Std Dev
$49.43
Max
$209.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $97.32 and $140.78 per claim for this code.
90% bill between $96.08 and $182.19.
Top 1% bill above $207.04.
About This Procedure
HCPCS code 00862 was billed by 5 providers across 210 claims, totaling $27K in Medicaid payments from 2018–2024. This code was used for 199 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$97.91
Providers Billing
5
National Spending
$27K
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00862
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1093767766 | $17K |
| 2 | 1528010428 | $4K |
| 3 | 1710324041 | $3K |
| 4 | 1871986372 | $2K |
| 5 | 1487609475 | $1K |
Showing top 5 of 5 providers billing this code