0391
HCPCS Procedure Code
HCPCS code 0391 is the #5,904 most-billed Medicaid procedure code, with $121K in payments across 4K claims from 2018–2024. The national median cost per claim is $32.37. Costs vary widely — the 90th percentile is $219.95 per claim, 6.8× the median.
Total Paid
$121K
0.00% of all spending
Total Claims
4K
Providers
11
Avg Cost/Claim
$33
National Cost Distribution
How much do providers bill per claim for 0391? Based on 8 providers billing this code nationally.
Median
$32.37
Average
$84.62
Std Dev
$110.20
Max
$315.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.56 and $112.78 per claim for this code.
90% bill between $2.58 and $219.95.
Top 1% bill above $305.52.
About This Procedure
HCPCS code 0391 was billed by 11 providers across 4K claims, totaling $121K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$32.37
Providers Billing
8
National Spending
$121K
Avg/Median Ratio
2.61×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0391
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $100K |
| 2 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $10K |
| 3 | 1417901091 | $6K |
| 4 | 1811946734 | $3K |
| 5 | 1104906569 | $978 |
| 6 | 1114547114 | $612 |
| 7 | 1710109186 | $488 |
| 8 | 1558575746 | $68 |
| 9 | 1578529285 | $0 |
| 10 | 1922033547 | $0 |
| 11 | 1821002007 | $0 |
Showing top 11 of 11 providers billing this code