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#3662 of 11K

0138

HCPCS Procedure Code

HCPCS code 0138 is the #3,662 most-billed Medicaid procedure code, with $1.4M in payments across 59 claims from 2018–2024. The national median cost per claim is $23,135.74.

Total Paid

$1.4M

0.00% of all spending

Total Claims

59

Providers

1

Avg Cost/Claim

$23K

National Cost Distribution

How much do providers bill per claim for 0138? Based on 1 providers billing this code nationally.

Median

$23,135.74

Average

$23,135.74

Std Dev

Max

$23,135.74

Percentile Distribution (Cost per Claim)

p10
$23,135.74
p25
$23,135.74
Median
$23,135.74
p75
$23,135.74
p90
$23,135.74
p95
$23,135.74
p99
$23,135.74

50% of providers bill between $23,135.74 and $23,135.74 per claim for this code.

90% bill between $23,135.74 and $23,135.74.

Top 1% bill above $23,135.74.

About This Procedure

HCPCS code 0138 was billed by 1 providers across 59 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 57 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23,135.74

Providers Billing

1

National Spending

$1.4M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.