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#4614 of 11K

0352

HCPCS Procedure Code

HCPCS code 0352 is the #4,614 most-billed Medicaid procedure code, with $487K in payments across 24K claims from 2018–2024. The national median cost per claim is $28.81. Costs vary widely — the 90th percentile is $396.11 per claim, 13.7× the median.

Total Paid

$487K

0.00% of all spending

Total Claims

24K

Providers

71

Avg Cost/Claim

$20

National Cost Distribution

How much do providers bill per claim for 0352? Based on 21 providers billing this code nationally.

Median

$28.81

Average

$155.20

Std Dev

$239.36

Max

$899.12

Percentile Distribution (Cost per Claim)

p10
$0.98
p25
$4.52
Median
$28.81
p75
$197.36
p90
$396.11
p95
$674.04
p99
$854.11

50% of providers bill between $4.52 and $197.36 per claim for this code.

90% bill between $0.98 and $396.11.

Top 1% bill above $854.11.

About This Procedure

HCPCS code 0352 was billed by 71 providers across 24K claims, totaling $487K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.81

Providers Billing

21

National Spending

$487K

Avg/Median Ratio

5.39×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0352

#ProviderTotal Paid
1University Of California Irvine

Orange, CA · General Acute Care Hospital

$172K
2Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$110K
31760510937$96K
41194711952$37K
51578529285$20K
6Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$11K
7Kaiser Foundation Health Plan Inc

Oakland, CA · Health Maintenance Organization

$8K
81639523004$6K
91104906569$6K
101801366711$5K
111124004304$3K
121528263746$2K
131639172372$2K
141336328244$2K
15Port City Operating Company Llc

Stockton, CA · General Acute Care Hospital

$1K
161932197258$1K
17County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$1K
181336173269$1K
191265433551$1K
201073665360$474

Showing top 20 of 71 providers billing this code