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#1712 of 11K

W0560

HCPCS Procedure Code

HCPCS code W0560 is the #1,712 most-billed Medicaid procedure code, with $15.6M in payments across 61K claims from 2018–2024. The national median cost per claim is $235.08.

Total Paid

$15.6M

0.00% of all spending

Total Claims

61K

Providers

2

Avg Cost/Claim

$256

National Cost Distribution

How much do providers bill per claim for W0560? Based on 2 providers billing this code nationally.

Median

$235.08

Average

$235.08

Std Dev

$168.09

Max

$353.94

Percentile Distribution (Cost per Claim)

p10
$140.00
p25
$175.65
Median
$235.08
p75
$294.51
p90
$330.17
p95
$342.05
p99
$351.56

50% of providers bill between $175.65 and $294.51 per claim for this code.

90% bill between $140.00 and $330.17.

Top 1% bill above $351.56.

About This Procedure

HCPCS code W0560 was billed by 2 providers across 61K claims, totaling $15.6M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$235.08

Providers Billing

2

National Spending

$15.6M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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