0451
HCPCS Procedure Code
HCPCS code 0451 is the #6,844 most-billed Medicaid procedure code, with $40K in payments across 2K claims from 2018–2024. The national median cost per claim is $47.56.
Total Paid
$40K
0.00% of all spending
Total Claims
2K
Providers
8
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 0451? Based on 7 providers billing this code nationally.
Median
$47.56
Average
$35.11
Std Dev
$20.32
Max
$54.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.69 and $49.35 per claim for this code.
90% bill between $11.63 and $52.25.
Top 1% bill above $53.83.
About This Procedure
HCPCS code 0451 was billed by 8 providers across 2K claims, totaling $40K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$47.56
Providers Billing
7
National Spending
$40K
Avg/Median Ratio
0.74×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0451
| # | Provider | Total Paid |
|---|---|---|
| 1 | Palomar Health Escondido, CA · General Acute Care Hospital | $33K |
| 2 | 1376513754 | $3K |
| 3 | 1144237272 | $2K |
| 4 | 1891059127 | $1K |
| 5 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $1K |
| 6 | 1063412005 | $313 |
| 7 | 1013981554 | $115 |
| 8 | Children's Hospital Washington, DC · General Acute Care Hospital Children | $0 |
Showing top 8 of 8 providers billing this code