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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1225020860 | $1K |
| 2 | 1639400260 | $1K |
| 3 | 1568648665 | $880 |
| 4 | 1538306352 | $584 |
| 5 | 1598852717 | $549 |
| 6 | 1851736441 | $510 |
| 7 | 1689009854 | $504 |
| 8 | 1821210329 | $447 |
| 9 | 1386010312 | $395 |
| 10 | 1700024403 | $390 |
| 11 | 1396828331 | $356 |
| 12 | 1932214657 | $355 |
| 13 | 1558367649 | $330 |
| 14 | 1093815771 | $328 |
| 15 | 1891937157 | $320 |
| 16 | 1083728687 | $312 |
| 17 | 1376093609 | $200 |
| 18 | 1043267693 | $200 |
| 19 | 1972528032 | $198 |
| 20 | 1922345768 | $197 |
Showing top 20 of 809 providers billing this code