0214
HCPCS Procedure Code
HCPCS code 0214 is the #1,385 most-billed Medicaid procedure code, with $24.9M in payments across 9K claims from 2018–2024. The national median cost per claim is $1,282.92. Costs vary widely — the 90th percentile is $7,757.46 per claim, 6.0× the median.
Total Paid
$24.9M
0.00% of all spending
Total Claims
9K
Providers
28
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for 0214? Based on 25 providers billing this code nationally.
Median
$1,282.92
Average
$2,532.64
Std Dev
$3,011.64
Max
$10,434.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $366.76 and $3,020.35 per claim for this code.
90% bill between $180.01 and $7,757.46.
Top 1% bill above $10,045.43.
About This Procedure
HCPCS code 0214 was billed by 28 providers across 9K claims, totaling $24.9M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,282.92
Providers Billing
25
National Spending
$24.9M
Avg/Median Ratio
1.97×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0214
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932197258 | $16.6M |
| 2 | 1114547114 | $2.1M |
| 3 | 1811129752 | $1.2M |
| 4 | 1194840421 | $793K |
| 5 | 1073665360 | $620K |
| 6 | 1043215379 | $619K |
| 7 | 1265433551 | $412K |
| 8 | 1578529285 | $390K |
| 9 | 1477502797 | $329K |
| 10 | University Of California Irvine Orange, CA · General Acute Care Hospital | $284K |
| 11 | 1336173269 | $235K |
| 12 | 1295181477 | $226K |
| 13 | 1477587632 | $221K |
| 14 | 1689732885 | $211K |
| 15 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $175K |
| 16 | 1114081056 | $142K |
| 17 | 1417089350 | $137K |
| 18 | 1477610640 | $88K |
| 19 | 1154428688 | $86K |
| 20 | 1750365375 | $35K |
Showing top 20 of 28 providers billing this code