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#8391 of 11K

0517F

HCPCS Procedure Code

HCPCS code 0517F is the #8,391 most-billed Medicaid procedure code, with $3K in payments across 42K claims from 2018–2024. The national median cost per claim is $0.59. Costs vary widely — the 90th percentile is $4.71 per claim, 8.0× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

42K

Providers

108

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 0517F? Based on 8 providers billing this code nationally.

Median

$0.59

Average

$1.73

Std Dev

$2.49

Max

$7.00

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.03
Median
$0.59
p75
$2.35
p90
$4.71
p95
$5.86
p99
$6.77

50% of providers bill between $0.03 and $2.35 per claim for this code.

90% bill between $0.00 and $4.71.

Top 1% bill above $6.77.

About This Procedure

HCPCS code 0517F was billed by 108 providers across 42K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.59

Providers Billing

8

National Spending

$3K

Avg/Median Ratio

2.93×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0517F

#ProviderTotal Paid
11740231323$3K
21326371808$340
31841234861$133
41760541569$114
51184775041$112
61922040252$19
71417967308$18
81528066644$11
91477555829$0
101457710014$0
111659307858$0
121881891885$0
131578989125$0
141417014705$0
151740291350$0
161306035118$0
171023340114$0
181457614968$0
191225172356$0
201548276454$0

Showing top 20 of 108 providers billing this code