Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5993 of 11K

0054U

HCPCS Procedure Code

HCPCS code 0054U is the #5,993 most-billed Medicaid procedure code, with $109K in payments across 2,184 claims from 2018–2024. The national median cost per claim is $49.69.

Total Paid

$109K

0.00% of all spending

Total Claims

2,184

Providers

1

Avg Cost/Claim

$50

National Cost Distribution

How much do providers bill per claim for 0054U? Based on 1 providers billing this code nationally.

Median

$49.69

Average

$49.69

Std Dev

Max

$49.69

Percentile Distribution (Cost per Claim)

p10
$49.69
p25
$49.69
Median
$49.69
p75
$49.69
p90
$49.69
p95
$49.69
p99
$49.69

50% of providers bill between $49.69 and $49.69 per claim for this code.

90% bill between $49.69 and $49.69.

Top 1% bill above $49.69.

About This Procedure

HCPCS code 0054U was billed by 1 providers across 2,184 claims, totaling $109K in Medicaid payments from 2018–2024. This code was used for 1,246 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.69

Providers Billing

1

National Spending

$109K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.