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#2161 of 11K

U0001

HCPCS Procedure Code

HCPCS code U0001 is the #2,161 most-billed Medicaid procedure code, with $8.4M in payments across 366K claims from 2018–2024. The national median cost per claim is $24.79.

Total Paid

$8.4M

0.00% of all spending

Total Claims

366K

Providers

429

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for U0001? Based on 344 providers billing this code nationally.

Median

$24.79

Average

$24.03

Std Dev

$18.94

Max

$187.74

Percentile Distribution (Cost per Claim)

p10
$2.78
p25
$9.90
Median
$24.79
p75
$33.33
p90
$39.14
p95
$51.00
p99
$79.18

50% of providers bill between $9.90 and $33.33 per claim for this code.

90% bill between $2.78 and $39.14.

Top 1% bill above $79.18.

About This Procedure

HCPCS code U0001 was billed by 429 providers across 366K claims, totaling $8.4M in Medicaid payments from 2018–2024. This code was used for 315K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.79

Providers Billing

344

National Spending

$8.4M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for U0001

#ProviderTotal Paid
1State Of New Mexico

Santa Fe, NM · Public Health or Welfare

$1.2M
21699714717$418K
31699874248$268K
41356406136$263K
51235290651$248K
61235147497$240K
7New York City Health And Hospitals Corporation

Elmhurst, NY · Internal Medicine

$205K
81245387372$193K
91972503142$173K
101538108725$171K
111710139316$160K
121558365890$138K
13New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$137K
141548208127$136K
15New York City Health And Hospitals Corporation

New York, NY · Internal Medicine

$132K
161003824608$128K
171003814971$128K
181063577831$123K
19New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$111K
201134137375$111K

Showing top 20 of 429 providers billing this code