K0462
HCPCS Procedure Code
HCPCS code K0462 is the #4,413 most-billed Medicaid procedure code, with $606K in payments across 10K claims from 2018–2024. The national median cost per claim is $56.68. Costs vary widely — the 90th percentile is $157.74 per claim, 2.8× the median.
Total Paid
$606K
0.00% of all spending
Total Claims
10K
Providers
27
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for K0462? Based on 25 providers billing this code nationally.
Median
$56.68
Average
$71.70
Std Dev
$62.13
Max
$211.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.39 and $112.55 per claim for this code.
90% bill between $3.50 and $157.74.
Top 1% bill above $210.71.
About This Procedure
HCPCS code K0462 was billed by 27 providers across 10K claims, totaling $606K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.68
Providers Billing
25
National Spending
$606K
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for K0462
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $277K |
| 2 | 1992095988 | $110K |
| 3 | Medcare Equipment Company, Llc Export, PA · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | $71K |
| 4 | 1720645575 | $28K |
| 5 | 1669747390 | $20K |
| 6 | 1841581840 | $19K |
| 7 | 1922006741 | $19K |
| 8 | 1477594877 | $14K |
| 9 | 1033217617 | $9K |
| 10 | 1902137409 | $9K |
| 11 | 1184883472 | $7K |
| 12 | 1235237827 | $5K |
| 13 | Medcare Equipment Company Llc Erie, PA · Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | $3K |
| 14 | 1841286929 | $3K |
| 15 | 1821008392 | $3K |
| 16 | 1902934250 | $2K |
| 17 | 1558466243 | $2K |
| 18 | 1851465819 | $1K |
| 19 | 1285772343 | $863 |
| 20 | 1255043303 | $722 |
Showing top 20 of 27 providers billing this code