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#7246 of 11K

0518F

HCPCS Procedure Code

HCPCS code 0518F is the #7,246 most-billed Medicaid procedure code, with $24K in payments across 382K claims from 2018–2024. The national median cost per claim is $0.11. Costs vary widely — the 90th percentile is $2.91 per claim, 26.5× the median.

Total Paid

$24K

0.00% of all spending

Total Claims

382K

Providers

701

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 0518F? Based on 39 providers billing this code nationally.

Median

$0.11

Average

$1.55

Std Dev

$4.12

Max

$20.10

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.11
p75
$0.63
p90
$2.91
p95
$12.06
p99
$17.31

50% of providers bill between $0.00 and $0.63 per claim for this code.

90% bill between $0.00 and $2.91.

Top 1% bill above $17.31.

About This Procedure

HCPCS code 0518F was billed by 701 providers across 382K claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 301K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.11

Providers Billing

39

National Spending

$24K

Avg/Median Ratio

14.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0518F

#ProviderTotal Paid
11891096236$6K
21639277072$4K
31740525245$3K
41528538873$2K
51114115706$1K
61437505393$1K
71457457814$1K
81396828331$1K
91518905439$764
101245630557$596
111184989030$421
121942324595$329
131306805049$300
141437575966$208
151821370644$153
161659502920$135
171255700548$84
181316133457$70
191518118330$50
201013013002$32

Showing top 20 of 701 providers billing this code