Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5001 of 11K

0360T

HCPCS Procedure Code

HCPCS code 0360T is the #5,001 most-billed Medicaid procedure code, with $323K in payments across 15K claims from 2018–2024. The national median cost per claim is $46.02.

Total Paid

$323K

0.00% of all spending

Total Claims

15K

Providers

34

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 0360T? Based on 33 providers billing this code nationally.

Median

$46.02

Average

$46.40

Std Dev

$45.24

Max

$279.75

Percentile Distribution (Cost per Claim)

p10
$17.12
p25
$18.44
Median
$46.02
p75
$55.00
p90
$55.00
p95
$57.63
p99
$209.93

50% of providers bill between $18.44 and $55.00 per claim for this code.

90% bill between $17.12 and $55.00.

Top 1% bill above $209.93.

About This Procedure

HCPCS code 0360T was billed by 34 providers across 15K claims, totaling $323K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.02

Providers Billing

33

National Spending

$323K

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0360T

#ProviderTotal Paid
11821494584$62K
21417477175$53K
31215392337$26K
41336679646$20K
51720341084$19K
61710945969$15K
71629322540$15K
81598930109$14K
91932279072$11K
101780982025$10K
111194262501$9K
121962948778$8K
131730247016$7K
141578714705$6K
151063571131$6K
161871970582$5K
171922533603$5K
181235664673$4K
191821322157$4K
201760644074$3K

Showing top 20 of 34 providers billing this code