0258
HCPCS Procedure Code
HCPCS code 0258 is the #3,751 most-billed Medicaid procedure code, with $1.2M in payments across 203K claims from 2018–2024. The national median cost per claim is $2.10. Costs vary widely — the 90th percentile is $23.07 per claim, 11.0× the median.
Total Paid
$1.2M
0.00% of all spending
Total Claims
203K
Providers
182
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 0258? Based on 133 providers billing this code nationally.
Median
$2.10
Average
$9.27
Std Dev
$19.11
Max
$113.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.25 and $8.07 per claim for this code.
90% bill between $0.04 and $23.07.
Top 1% bill above $100.98.
About This Procedure
HCPCS code 0258 was billed by 182 providers across 203K claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 163K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.10
Providers Billing
133
National Spending
$1.2M
Avg/Median Ratio
4.41×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0258
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902803315 | $140K |
| 2 | 1710065933 | $135K |
| 3 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $96K |
| 4 | Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital | $91K |
| 5 | 1215903018 | $71K |
| 6 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $61K |
| 7 | 1831188275 | $55K |
| 8 | 1245371343 | $47K |
| 9 | 1417089350 | $37K |
| 10 | 1780614685 | $37K |
| 11 | 1639523004 | $33K |
| 12 | Palomar Health Escondido, CA · General Acute Care Hospital | $28K |
| 13 | 1467459776 | $25K |
| 14 | Kaiser Foundation Hospitals Downey, CA · General Acute Care Hospital | $23K |
| 15 | 1659439834 | $22K |
| 16 | 1659359446 | $21K |
| 17 | 1780676221 | $20K |
| 18 | 1073519443 | $19K |
| 19 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $16K |
| 20 | 1265468946 | $15K |
Showing top 20 of 182 providers billing this code