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#5819 of 11K

0001F

HCPCS Procedure Code

HCPCS code 0001F is the #5,819 most-billed Medicaid procedure code, with $133K in payments across 434K claims from 2018–2024. The national median cost per claim is $0.48. Costs vary widely — the 90th percentile is $4.15 per claim, 8.6× the median.

Total Paid

$133K

0.00% of all spending

Total Claims

434K

Providers

173

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 0001F? Based on 23 providers billing this code nationally.

Median

$0.48

Average

$3.22

Std Dev

$10.68

Max

$51.51

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.02
Median
$0.48
p75
$1.24
p90
$4.15
p95
$7.39
p99
$41.87

50% of providers bill between $0.02 and $1.24 per claim for this code.

90% bill between $0.00 and $4.15.

Top 1% bill above $41.87.

About This Procedure

HCPCS code 0001F was billed by 173 providers across 434K claims, totaling $133K in Medicaid payments from 2018–2024. This code was used for 379K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.48

Providers Billing

23

National Spending

$133K

Avg/Median Ratio

6.71×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0001F

#ProviderTotal Paid
11649240698$46K
21578696910$17K
31114630662$15K
41841323151$12K
51770521270$10K
61417986340$9K
71033178561$8K
81558545269$7K
91972861151$3K
101245669555$3K
111235677634$1K
121013061597$513
131003325440$238
141588311492$200
151205505344$75
161275604266$31
171841683067$17
181386298008$7
191194777466$3
201942606454$1

Showing top 20 of 173 providers billing this code

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