0513F
HCPCS Procedure Code
HCPCS code 0513F is the #5,434 most-billed Medicaid procedure code, with $199K in payments across 105K claims from 2018–2024. The national median cost per claim is $2.71. Costs vary widely — the 90th percentile is $13.44 per claim, 5.0× the median.
Total Paid
$199K
0.00% of all spending
Total Claims
105K
Providers
222
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 0513F? Based on 100 providers billing this code nationally.
Median
$2.71
Average
$4.28
Std Dev
$4.83
Max
$17.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.37 and $7.10 per claim for this code.
90% bill between $0.05 and $13.44.
Top 1% bill above $16.43.
About This Procedure
HCPCS code 0513F was billed by 222 providers across 105K claims, totaling $199K in Medicaid payments from 2018–2024. This code was used for 87K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.71
Providers Billing
100
National Spending
$199K
Avg/Median Ratio
1.58×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0513F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669708756 | $34K |
| 2 | 1629219514 | $29K |
| 3 | 1356553549 | $17K |
| 4 | 1396826046 | $12K |
| 5 | 1447464185 | $12K |
| 6 | 1790936854 | $9K |
| 7 | 1790818433 | $9K |
| 8 | 1295711372 | $8K |
| 9 | 1295765378 | $7K |
| 10 | 1437422169 | $5K |
| 11 | 1932498318 | $5K |
| 12 | 1720281421 | $4K |
| 13 | 1912065863 | $4K |
| 14 | 1730398538 | $4K |
| 15 | 1184635153 | $3K |
| 16 | 1497367015 | $3K |
| 17 | 1114433778 | $2K |
| 18 | 1992749873 | $2K |
| 19 | 1205896719 | $2K |
| 20 | 1366651598 | $2K |
Showing top 20 of 222 providers billing this code