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#6807 of 11K

0401

HCPCS Procedure Code

HCPCS code 0401 is the #6,807 most-billed Medicaid procedure code, with $42K in payments across 1K claims from 2018–2024. The national median cost per claim is $23.89. Costs vary widely — the 90th percentile is $93.85 per claim, 3.9× the median.

Total Paid

$42K

0.00% of all spending

Total Claims

1K

Providers

14

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for 0401? Based on 8 providers billing this code nationally.

Median

$23.89

Average

$40.36

Std Dev

$41.42

Max

$95.25

Percentile Distribution (Cost per Claim)

p10
$3.86
p25
$5.70
Median
$23.89
p75
$79.67
p90
$93.85
p95
$94.55
p99
$95.11

50% of providers bill between $5.70 and $79.67 per claim for this code.

90% bill between $3.86 and $93.85.

Top 1% bill above $95.11.

About This Procedure

HCPCS code 0401 was billed by 14 providers across 1K claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.89

Providers Billing

8

National Spending

$42K

Avg/Median Ratio

1.69×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 0401

#ProviderTotal Paid
1City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$34K
21538141627$3K
31639172372$2K
41104906569$2K
51962442012$500
61285845982$278
71598773715$203
81699986331$5
91992752315$0
101760510937$0
111194926279$0
121518951300$0
131558575746$0
141275576381$0

Showing top 14 of 14 providers billing this code