0065U
HCPCS Procedure Code
HCPCS code 0065U is the #6,205 most-billed Medicaid procedure code, with $84K in payments across 8,243 claims from 2018–2024. The national median cost per claim is $1.78. Costs vary widely — the 90th percentile is $53.58 per claim, 30.1× the median.
Total Paid
$84K
0.00% of all spending
Total Claims
8,243
Providers
15
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 0065U? Based on 9 providers billing this code nationally.
Median
$1.78
Average
$28.70
Std Dev
$77.77
Max
$235.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.04 and $7.64 per claim for this code.
90% bill between $0.48 and $53.58.
Top 1% bill above $217.69.
About This Procedure
HCPCS code 0065U was billed by 15 providers across 8,243 claims, totaling $84K in Medicaid payments from 2018–2024. This code was used for 7,341 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.78
Providers Billing
9
National Spending
$84K
Avg/Median Ratio
16.12×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0065U
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $59K |
| 2 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $18K |
| 3 | 1518516533 | $3K |
| 4 | 1053314146 | $2K |
| 5 | 1720029960 | $1K |
| 6 | 1598142895 | $158 |
| 7 | 1144228305 | $147 |
| 8 | 1316008212 | $27 |
| 9 | 1760488936 | $16 |
| 10 | 1144266024 | $0 |
| 11 | 1346258100 | $0 |
| 12 | 1225195340 | $0 |
| 13 | 1669564662 | $0 |
| 14 | 1649241084 | $0 |
| 15 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $0 |
Showing top 15 of 15 providers billing this code