0171
HCPCS Procedure Code
HCPCS code 0171 is the #2,975 most-billed Medicaid procedure code, with $2.9M in payments across 10K claims from 2018–2024. The national median cost per claim is $209.20. Costs vary widely — the 90th percentile is $1,101.82 per claim, 5.3× the median.
Total Paid
$2.9M
0.00% of all spending
Total Claims
10K
Providers
35
Avg Cost/Claim
$279
National Cost Distribution
How much do providers bill per claim for 0171? Based on 27 providers billing this code nationally.
Median
$209.20
Average
$407.29
Std Dev
$559.08
Max
$2,452.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $30.65 and $456.84 per claim for this code.
90% bill between $7.76 and $1,101.82.
Top 1% bill above $2,191.40.
About This Procedure
HCPCS code 0171 was billed by 35 providers across 10K claims, totaling $2.9M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$209.20
Providers Billing
27
National Spending
$2.9M
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0171
| # | Provider | Total Paid |
|---|---|---|
| 1 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $1.1M |
| 2 | Palomar Health Escondido, CA · General Acute Care Hospital | $406K |
| 3 | 1114547114 | $223K |
| 4 | 1336328244 | $171K |
| 5 | 1922033547 | $166K |
| 6 | 1235120676 | $162K |
| 7 | 1740215219 | $145K |
| 8 | 1518940667 | $98K |
| 9 | 1073519443 | $93K |
| 10 | 1093892275 | $78K |
| 11 | 1639523004 | $77K |
| 12 | 1932197258 | $42K |
| 13 | 1982629440 | $40K |
| 14 | 1194840421 | $22K |
| 15 | 1578529285 | $18K |
| 16 | 1821250762 | $15K |
| 17 | 1811129752 | $6K |
| 18 | 1336173269 | $5K |
| 19 | 1215927470 | $4K |
| 20 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $3K |
Showing top 20 of 35 providers billing this code