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#6073 of 11K

1158F

HCPCS Procedure Code

HCPCS code 1158F is the #6,073 most-billed Medicaid procedure code, with $98K in payments across 1.9M claims from 2018–2024. The national median cost per claim is $0.13. Costs vary widely — the 90th percentile is $2.61 per claim, 20.1× the median.

Total Paid

$98K

0.00% of all spending

Total Claims

1.9M

Providers

2K

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1158F? Based on 401 providers billing this code nationally.

Median

$0.13

Average

$1.15

Std Dev

$3.57

Max

$50.00

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.13
p75
$1.52
p90
$2.61
p95
$3.55
p99
$6.84

50% of providers bill between $0.01 and $1.52 per claim for this code.

90% bill between $0.00 and $2.61.

Top 1% bill above $6.84.

About This Procedure

HCPCS code 1158F was billed by 2K providers across 1.9M claims, totaling $98K in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.13

Providers Billing

401

National Spending

$98K

Avg/Median Ratio

8.85×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1158F

#ProviderTotal Paid
11679672562$21K
21053679787$12K
31245385095$9K
41659312593$5K
51477754539$4K
61689901688$4K
71407243223$4K
81093253890$4K
91932214657$2K
101306147327$2K
111881610582$2K
121215991534$1K
131639296965$1K
141891813085$1K
151134419914$950
161679510598$800
171821212580$750
181326090960$680
191174167993$583
201780832972$573

Showing top 20 of 2K providers billing this code