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#2779 of 11K

H1002

HCPCS Procedure Code

HCPCS code H1002 is the #2,779 most-billed Medicaid procedure code, with $3.7M in payments across 151K claims from 2018–2024. The national median cost per claim is $23.28. Costs vary widely — the 90th percentile is $125.16 per claim, 5.4× the median.

Total Paid

$3.7M

0.00% of all spending

Total Claims

151K

Providers

181

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for H1002? Based on 145 providers billing this code nationally.

Median

$23.28

Average

$41.20

Std Dev

$48.30

Max

$323.03

Percentile Distribution (Cost per Claim)

p10
$1.94
p25
$8.20
Median
$23.28
p75
$48.79
p90
$125.16
p95
$134.24
p99
$167.62

50% of providers bill between $8.20 and $48.79 per claim for this code.

90% bill between $1.94 and $125.16.

Top 1% bill above $167.62.

About This Procedure

HCPCS code H1002 was billed by 181 providers across 151K claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 138K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.28

Providers Billing

145

National Spending

$3.7M

Avg/Median Ratio

1.77×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for H1002

#ProviderTotal Paid
11447396833$1.1M
2The Metrohealth System

Cleveland, OH · Anesthesiology

$322K
31780753210$204K
41891971131$150K
51457373342$139K
61467411744$132K
71730136680$126K
81073505764$103K
91417912999$98K
101376949503$82K
111265539712$77K
121265625651$74K
131073578134$74K
141023140274$54K
151245234673$53K
161730162652$47K
171124112933$43K
181134271380$42K
191609091818$35K
201316597693$34K

Showing top 20 of 181 providers billing this code