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#5266 of 11K

82009

HCPCS Procedure Code

HCPCS code 82009 is the #5,266 most-billed Medicaid procedure code, with $246K in payments across 113K claims from 2018–2024. The national median cost per claim is $1.58. Costs vary widely — the 90th percentile is $6.14 per claim, 3.9× the median.

Total Paid

$246K

0.00% of all spending

Total Claims

113K

Providers

322

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 82009? Based on 278 providers billing this code nationally.

Median

$1.58

Average

$3.28

Std Dev

$6.89

Max

$72.69

Percentile Distribution (Cost per Claim)

p10
$0.11
p25
$0.63
Median
$1.58
p75
$3.81
p90
$6.14
p95
$8.36
p99
$41.90

50% of providers bill between $0.63 and $3.81 per claim for this code.

90% bill between $0.11 and $6.14.

Top 1% bill above $41.90.

About This Procedure

HCPCS code 82009 was billed by 322 providers across 113K claims, totaling $246K in Medicaid payments from 2018–2024. This code was used for 96K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.58

Providers Billing

278

National Spending

$246K

Avg/Median Ratio

2.08×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 82009

#ProviderTotal Paid
1Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$34K
2Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$17K
3University Hospital

Newark, NJ · General Acute Care Hospital

$16K
41750332565$13K
51184606600$11K
6Trinitas Regional Medical Center

Elizabeth, NJ · General Acute Care Hospital

$7K
7Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$7K
81780681189$5K
91568431088$5K
101467546135$5K
111073518007$5K
12St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$5K
131073519443$4K
141699129601$3K
151871522680$3K
161972575157$3K
171336148899$3K
181467808659$3K
191003985755$3K
201952476525$3K

Showing top 20 of 322 providers billing this code