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#1939 of 11K

0037U

HCPCS Procedure Code

HCPCS code 0037U is the #1,939 most-billed Medicaid procedure code, with $11.3M in payments across 16K claims from 2018–2024. The national median cost per claim is $468.40.

Total Paid

$11.3M

0.00% of all spending

Total Claims

16K

Providers

3

Avg Cost/Claim

$694

National Cost Distribution

How much do providers bill per claim for 0037U? Based on 3 providers billing this code nationally.

Median

$468.40

Average

$565.11

Std Dev

$225.69

Max

$823.04

Percentile Distribution (Cost per Claim)

p10
$416.80
p25
$436.15
Median
$468.40
p75
$645.72
p90
$752.11
p95
$787.58
p99
$815.95

50% of providers bill between $436.15 and $645.72 per claim for this code.

90% bill between $416.80 and $752.11.

Top 1% bill above $815.95.

About This Procedure

HCPCS code 0037U was billed by 3 providers across 16K claims, totaling $11.3M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$468.40

Providers Billing

3

National Spending

$11.3M

Avg/Median Ratio

1.21×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.