0038U
HCPCS Procedure Code
HCPCS code 0038U is the #6,998 most-billed Medicaid procedure code, with $33K in payments across 24K claims from 2018–2024. The national median cost per claim is $0.50. Costs vary widely — the 90th percentile is $6.45 per claim, 12.9× the median.
Total Paid
$33K
0.00% of all spending
Total Claims
24K
Providers
11
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 0038U? Based on 8 providers billing this code nationally.
Median
$0.50
Average
$2.50
Std Dev
$4.59
Max
$13.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.25 and $1.91 per claim for this code.
90% bill between $0.19 and $6.45.
Top 1% bill above $12.83.
About This Procedure
HCPCS code 0038U was billed by 11 providers across 24K claims, totaling $33K in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.50
Providers Billing
8
National Spending
$33K
Avg/Median Ratio
5.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0038U
| # | Provider | Total Paid |
|---|---|---|
| 1 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $23K |
| 2 | 1952693277 | $6K |
| 3 | 1598086878 | $2K |
| 4 | County Of Santa Clara San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $1K |
| 5 | County Of Santa Clara San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $274 |
| 6 | County Of Santa Clara Milpitas, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $191 |
| 7 | County Of Santa Clara Gilroy, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $109 |
| 8 | 1689012148 | $69 |
| 9 | 1043354020 | $0 |
| 10 | 1588082812 | $0 |
| 11 | County Of Santa Clara San Jose, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $0 |
Showing top 11 of 11 providers billing this code