00402
HCPCS Procedure Code
HCPCS code 00402 is the #5,097 most-billed Medicaid procedure code, with $292K in payments across 3K claims from 2018–2024. The national median cost per claim is $128.23. Costs vary widely — the 90th percentile is $452.62 per claim, 3.5× the median.
Total Paid
$292K
0.00% of all spending
Total Claims
3K
Providers
26
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for 00402? Based on 19 providers billing this code nationally.
Median
$128.23
Average
$183.81
Std Dev
$142.96
Max
$486.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $93.33 and $233.98 per claim for this code.
90% bill between $69.35 and $452.62.
Top 1% bill above $482.15.
About This Procedure
HCPCS code 00402 was billed by 26 providers across 3K claims, totaling $292K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$128.23
Providers Billing
19
National Spending
$292K
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00402
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972126209 | $52K |
| 2 | 1508947441 | $50K |
| 3 | 1740232321 | $46K |
| 4 | 1487609475 | $20K |
| 5 | 1093767766 | $20K |
| 6 | 1861448235 | $16K |
| 7 | 1053366377 | $16K |
| 8 | 1053358937 | $13K |
| 9 | 1528010428 | $10K |
| 10 | 1053782466 | $10K |
| 11 | 1417994872 | $9K |
| 12 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $7K |
| 13 | Montefiore Medical Center Bronx, NY · Anesthesiology | $5K |
| 14 | 1558314427 | $5K |
| 15 | 1710324041 | $5K |
| 16 | 1497797153 | $3K |
| 17 | 1669581997 | $2K |
| 18 | 1871986372 | $2K |
| 19 | 1912943184 | $781 |
| 20 | 1235196510 | $0 |
Showing top 20 of 26 providers billing this code