0278
HCPCS Procedure Code
HCPCS code 0278 is the #4,743 most-billed Medicaid procedure code, with $423K in payments across 6K claims from 2018–2024. The national median cost per claim is $17.55. Costs vary widely — the 90th percentile is $481.88 per claim, 27.5× the median.
Total Paid
$423K
0.00% of all spending
Total Claims
6K
Providers
35
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 0278? Based on 17 providers billing this code nationally.
Median
$17.55
Average
$496.42
Std Dev
$1,656.55
Max
$6,885.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.59 and $59.19 per claim for this code.
90% bill between $1.10 and $481.88.
Top 1% bill above $5,894.04.
About This Procedure
HCPCS code 0278 was billed by 35 providers across 6K claims, totaling $423K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.55
Providers Billing
17
National Spending
$423K
Avg/Median Ratio
28.29×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0278
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215927470 | $273K |
| 2 | 1518940667 | $96K |
| 3 | 1063441293 | $13K |
| 4 | 1184628919 | $11K |
| 5 | 1336328244 | $7K |
| 6 | 1750365375 | $6K |
| 7 | 1477610640 | $6K |
| 8 | 1073665360 | $3K |
| 9 | 1982629440 | $3K |
| 10 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $2K |
| 11 | 1760510937 | $362 |
| 12 | 1578529285 | $307 |
| 13 | 1114081056 | $292 |
| 14 | 1417901091 | $168 |
| 15 | 1417089350 | $128 |
| 16 | 1952777245 | $54 |
| 17 | 1073519443 | $14 |
| 18 | 1114547114 | $0 |
| 19 | 1518951300 | $0 |
| 20 | 1124173059 | $0 |
Showing top 20 of 35 providers billing this code