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#6317 of 11K

0780

HCPCS Procedure Code

HCPCS code 0780 is the #6,317 most-billed Medicaid procedure code, with $75K in payments across 3K claims from 2018–2024. The national median cost per claim is $1.56. Costs vary widely — the 90th percentile is $39.71 per claim, 25.5× the median.

Total Paid

$75K

0.00% of all spending

Total Claims

3K

Providers

7

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 0780? Based on 3 providers billing this code nationally.

Median

$1.56

Average

$17.15

Std Dev

$27.80

Max

$49.24

Percentile Distribution (Cost per Claim)

p10
$0.82
p25
$1.10
Median
$1.56
p75
$25.40
p90
$39.71
p95
$44.48
p99
$48.29

50% of providers bill between $1.10 and $25.40 per claim for this code.

90% bill between $0.82 and $39.71.

Top 1% bill above $48.29.

About This Procedure

HCPCS code 0780 was billed by 7 providers across 3K claims, totaling $75K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.56

Providers Billing

3

National Spending

$75K

Avg/Median Ratio

10.99×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0780

#ProviderTotal Paid
1Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$75K
21639172372$140
31902803315$28
4University Of California Irvine

Orange, CA · General Acute Care Hospital

$0
51033106703$0
61437146032$0
71356350318$0

Showing top 7 of 7 providers billing this code