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#2006 of 11K

T2037

HCPCS Procedure Code

HCPCS code T2037 is the #2,006 most-billed Medicaid procedure code, with $10.2M in payments across 24K claims from 2018–2024. The national median cost per claim is $304.73. Costs vary widely — the 90th percentile is $1,096.20 per claim, 3.6× the median.

Total Paid

$10.2M

0.00% of all spending

Total Claims

24K

Providers

35

Avg Cost/Claim

$426

National Cost Distribution

How much do providers bill per claim for T2037? Based on 35 providers billing this code nationally.

Median

$304.73

Average

$659.22

Std Dev

$1,325.02

Max

$7,699.04

Percentile Distribution (Cost per Claim)

p10
$46.51
p25
$128.59
Median
$304.73
p75
$530.03
p90
$1,096.20
p95
$1,755.90
p99
$5,950.16

50% of providers bill between $128.59 and $530.03 per claim for this code.

90% bill between $46.51 and $1,096.20.

Top 1% bill above $5,950.16.

About This Procedure

HCPCS code T2037 was billed by 35 providers across 24K claims, totaling $10.2M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$304.73

Providers Billing

35

National Spending

$10.2M

Avg/Median Ratio

2.16×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2037

#ProviderTotal Paid
11073638342$1.8M
21366763492$1.4M
31386858439$1.3M
41518133966$1.1M
51821245390$1.1M
61003993809$675K
7Childserve Community Options Inc.

Johnston, IA · Respite Care Respite Care Intellectual and/or Developmental Disabilities Child

$488K
81114196854$416K
91699492496$312K
101346863180$238K
111225284961$223K
121295739951$192K
131053397869$146K
141164664603$132K
151689944720$121K
161093248569$99K
171104209923$66K
181306128715$57K
191891967261$54K
20Pas-personal Accounting Services, Inc.

Taylor, MI · Contractor

$51K

Showing top 20 of 35 providers billing this code