OP279
HCPCS Procedure Code
HCPCS code OP279 is the #1,822 most-billed Medicaid procedure code, with $13.3M in payments across 216K claims from 2018–2024. The national median cost per claim is $10.76. Costs vary widely — the 90th percentile is $47.61 per claim, 4.4× the median.
Total Paid
$13.3M
0.00% of all spending
Total Claims
216K
Providers
41
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for OP279? Based on 41 providers billing this code nationally.
Median
$10.76
Average
$25.04
Std Dev
$43.69
Max
$183.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.43 and $22.61 per claim for this code.
90% bill between $2.60 and $47.61.
Top 1% bill above $181.90.
About This Procedure
HCPCS code OP279 was billed by 41 providers across 216K claims, totaling $13.3M in Medicaid payments from 2018–2024. This code was used for 189K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.76
Providers Billing
41
National Spending
$13.3M
Avg/Median Ratio
2.33×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for OP279
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Hospital Newark, NJ · General Acute Care Hospital | $6.5M |
| 2 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $4.7M |
| 3 | 1467440743 | $434K |
| 4 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $352K |
| 5 | 1366097032 | $301K |
| 6 | 1053382697 | $243K |
| 7 | 1710491253 | $136K |
| 8 | 1255396024 | $65K |
| 9 | 1013386143 | $62K |
| 10 | 1629069638 | $51K |
| 11 | 1770901761 | $45K |
| 12 | 1982720249 | $44K |
| 13 | 1861486870 | $42K |
| 14 | 1689682999 | $41K |
| 15 | 1972141091 | $36K |
| 16 | 1184601288 | $30K |
| 17 | 1659387975 | $29K |
| 18 | 1477065126 | $29K |
| 19 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $28K |
| 20 | 1831601590 | $25K |
Showing top 20 of 41 providers billing this code