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#1244 of 11K

00142

HCPCS Procedure Code

HCPCS code 00142 is the #1,244 most-billed Medicaid procedure code, with $31.5M in payments across 634K claims from 2018–2024. The national median cost per claim is $43.11. Costs vary widely — the 90th percentile is $102.58 per claim, 2.4× the median.

Total Paid

$31.5M

0.00% of all spending

Total Claims

634K

Providers

1K

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for 00142? Based on 1K providers billing this code nationally.

Median

$43.11

Average

$53.04

Std Dev

$45.77

Max

$631.90

Percentile Distribution (Cost per Claim)

p10
$11.83
p25
$23.89
Median
$43.11
p75
$71.51
p90
$102.58
p95
$127.96
p99
$197.37

50% of providers bill between $23.89 and $71.51 per claim for this code.

90% bill between $11.83 and $102.58.

Top 1% bill above $197.37.

About This Procedure

HCPCS code 00142 was billed by 1K providers across 634K claims, totaling $31.5M in Medicaid payments from 2018–2024. This code was used for 520K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.11

Providers Billing

1K

National Spending

$31.5M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00142

#ProviderTotal Paid
11891235404$2.3M
21023063187$1.5M
31952548265$789K
41053354233$616K
51598277832$585K
61740295120$572K
71346267267$486K
81558314427$475K
91194098210$464K
101114065968$356K
111699736348$330K
121245338573$325K
131881636397$319K
141114978848$308K
151538424908$304K
16Montefiore Medical Center

Bronx, NY · Anesthesiology

$251K
171790952547$250K
181437292927$214K
191467452235$201K
201649264706$185K

Showing top 20 of 1K providers billing this code