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#4640 of 11K

0199

HCPCS Procedure Code

HCPCS code 0199 is the #4,640 most-billed Medicaid procedure code, with $474K in payments across 212 claims from 2018–2024. The national median cost per claim is $8,614.12.

Total Paid

$474K

0.00% of all spending

Total Claims

212

Providers

2

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 0199? Based on 1 providers billing this code nationally.

Median

$8,614.12

Average

$8,614.12

Std Dev

Max

$8,614.12

Percentile Distribution (Cost per Claim)

p10
$8,614.12
p25
$8,614.12
Median
$8,614.12
p75
$8,614.12
p90
$8,614.12
p95
$8,614.12
p99
$8,614.12

50% of providers bill between $8,614.12 and $8,614.12 per claim for this code.

90% bill between $8,614.12 and $8,614.12.

Top 1% bill above $8,614.12.

About This Procedure

HCPCS code 0199 was billed by 2 providers across 212 claims, totaling $474K in Medicaid payments from 2018–2024. This code was used for 130 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8,614.12

Providers Billing

1

National Spending

$474K

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.