94002
HCPCS Procedure Code
HCPCS code 94002 is the #6,773 most-billed Medicaid procedure code, with $43K in payments across 1K claims from 2018–2024. The national median cost per claim is $37.04. Costs vary widely — the 90th percentile is $367.75 per claim, 9.9× the median.
Total Paid
$43K
0.00% of all spending
Total Claims
1K
Providers
12
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 94002? Based on 11 providers billing this code nationally.
Median
$37.04
Average
$103.94
Std Dev
$170.21
Max
$510.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.28 and $65.52 per claim for this code.
90% bill between $0.69 and $367.75.
Top 1% bill above $496.05.
About This Procedure
HCPCS code 94002 was billed by 12 providers across 1K claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 787 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.04
Providers Billing
11
National Spending
$43K
Avg/Median Ratio
2.81×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 94002
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790815082 | $19K |
| 2 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $7K |
| 3 | 1477653889 | $6K |
| 4 | 1417081027 | $5K |
| 5 | 1154328185 | $3K |
| 6 | 1871656082 | $1K |
| 7 | 1992789721 | $1K |
| 8 | 1619179058 | $798 |
| 9 | 1104906569 | $388 |
| 10 | 1699986331 | $109 |
| 11 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $45 |
| 12 | 1346452166 | $0 |
Showing top 12 of 12 providers billing this code