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#4564 of 11K

00015

HCPCS Procedure Code

HCPCS code 00015 is the #4,564 most-billed Medicaid procedure code, with $512K in payments across 5K claims from 2018–2024. The national median cost per claim is $106.86.

Total Paid

$512K

0.00% of all spending

Total Claims

5K

Providers

4

Avg Cost/Claim

$112

National Cost Distribution

How much do providers bill per claim for 00015? Based on 4 providers billing this code nationally.

Median

$106.86

Average

$106.22

Std Dev

$6.57

Max

$113.04

Percentile Distribution (Cost per Claim)

p10
$99.87
p25
$102.53
Median
$106.86
p75
$110.54
p90
$112.04
p95
$112.54
p99
$112.94

50% of providers bill between $102.53 and $110.54 per claim for this code.

90% bill between $99.87 and $112.04.

Top 1% bill above $112.94.

About This Procedure

HCPCS code 00015 was billed by 4 providers across 5K claims, totaling $512K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$106.86

Providers Billing

4

National Spending

$512K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.