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#899 of 11K

K0739

HCPCS Procedure Code

HCPCS code K0739 is the #899 most-billed Medicaid procedure code, with $61.3M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $34.09. Costs vary widely — the 90th percentile is $81.05 per claim, 2.4× the median.

Total Paid

$61.3M

0.01% of all spending

Total Claims

1.2M

Providers

679

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for K0739? Based on 669 providers billing this code nationally.

Median

$34.09

Average

$44.61

Std Dev

$53.66

Max

$709.90

Percentile Distribution (Cost per Claim)

p10
$9.01
p25
$19.08
Median
$34.09
p75
$54.78
p90
$81.05
p95
$101.83
p99
$218.08

50% of providers bill between $19.08 and $54.78 per claim for this code.

90% bill between $9.01 and $81.05.

Top 1% bill above $218.08.

About This Procedure

HCPCS code K0739 was billed by 679 providers across 1.2M claims, totaling $61.3M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.09

Providers Billing

669

National Spending

$61.3M

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0739

#ProviderTotal Paid
11215933791$2.2M
21487624193$2.1M
31841263621$2.0M
4Integra Partners Llc

Troy, MI · Orthotic Fitter

$1.5M
51679546519$1.4M
61003052598$1.2M
71780758219$1.1M
81043209794$1.1M
91710984869$942K
101922172519$940K
111003889684$888K
121962470112$888K
131750316055$872K
14Integrated Home Care Services Inc.

Miramar, FL · Case Management

$840K
151184883472$833K
161750332797$831K
171932484979$803K
181972573137$785K
191326011263$650K
201578531356$610K

Showing top 20 of 679 providers billing this code

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