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#7710 of 11K

0521F

HCPCS Procedure Code

HCPCS code 0521F is the #7,710 most-billed Medicaid procedure code, with $11K in payments across 728K claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.50 per claim, 50.0× the median.

Total Paid

$11K

0.00% of all spending

Total Claims

728K

Providers

809

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 0521F? Based on 85 providers billing this code nationally.

Median

$0.01

Average

$0.16

Std Dev

$0.34

Max

$1.83

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.13
p90
$0.50
p95
$0.75
p99
$1.74

50% of providers bill between $0.00 and $0.13 per claim for this code.

90% bill between $0.00 and $0.50.

Top 1% bill above $1.74.

About This Procedure

HCPCS code 0521F was billed by 809 providers across 728K claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 629K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

85

National Spending

$11K

Avg/Median Ratio

16.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0521F

#ProviderTotal Paid
11225020860$1K
21639400260$1K
31568648665$880
41538306352$584
51598852717$549
61851736441$510
71689009854$504
81821210329$447
91386010312$395
101700024403$390
111396828331$356
121932214657$355
131558367649$330
141093815771$328
151891937157$320
161083728687$312
171376093609$200
181043267693$200
191972528032$198
201922345768$197

Showing top 20 of 809 providers billing this code