0550
HCPCS Procedure Code
HCPCS code 0550 is the #5,545 most-billed Medicaid procedure code, with $178K in payments across 2K claims from 2018–2024. The national median cost per claim is $98.67.
Total Paid
$178K
0.00% of all spending
Total Claims
2K
Providers
7
Avg Cost/Claim
$78
National Cost Distribution
How much do providers bill per claim for 0550? Based on 3 providers billing this code nationally.
Median
$98.67
Average
$74.19
Std Dev
$45.32
Max
$102.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $60.28 and $100.34 per claim for this code.
90% bill between $37.25 and $101.35.
Top 1% bill above $101.95.
About This Procedure
HCPCS code 0550 was billed by 7 providers across 2K claims, totaling $178K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$98.67
Providers Billing
3
National Spending
$178K
Avg/Median Ratio
0.75×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0550
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1861451841 | $114K |
| 2 | 1093801680 | $52K |
| 3 | 1467688994 | $12K |
| 4 | 1164429684 | $0 |
| 5 | 1114441300 | $0 |
| 6 | 1134762883 | $0 |
| 7 | 1700890514 | $0 |
Showing top 7 of 7 providers billing this code