Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5146 of 11K

0905

HCPCS Procedure Code

HCPCS code 0905 is the #5,146 most-billed Medicaid procedure code, with $277K in payments across 571 claims from 2018–2024. The national median cost per claim is $484.49.

Total Paid

$277K

0.00% of all spending

Total Claims

571

Providers

1

Avg Cost/Claim

$484

National Cost Distribution

How much do providers bill per claim for 0905? Based on 1 providers billing this code nationally.

Median

$484.49

Average

$484.49

Std Dev

Max

$484.49

Percentile Distribution (Cost per Claim)

p10
$484.49
p25
$484.49
Median
$484.49
p75
$484.49
p90
$484.49
p95
$484.49
p99
$484.49

50% of providers bill between $484.49 and $484.49 per claim for this code.

90% bill between $484.49 and $484.49.

Top 1% bill above $484.49.

About This Procedure

HCPCS code 0905 was billed by 1 providers across 571 claims, totaling $277K in Medicaid payments from 2018–2024. This code was used for 48 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$484.49

Providers Billing

1

National Spending

$277K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.