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#5772 of 11K

00860

HCPCS Procedure Code

HCPCS code 00860 is the #5,772 most-billed Medicaid procedure code, with $141K in payments across 2K claims from 2018–2024. The national median cost per claim is $75.89.

Total Paid

$141K

0.00% of all spending

Total Claims

2K

Providers

10

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for 00860? Based on 10 providers billing this code nationally.

Median

$75.89

Average

$99.05

Std Dev

$61.79

Max

$268.24

Percentile Distribution (Cost per Claim)

p10
$62.08
p25
$71.23
Median
$75.89
p75
$96.71
p90
$130.88
p95
$199.56
p99
$254.50

50% of providers bill between $71.23 and $96.71 per claim for this code.

90% bill between $62.08 and $130.88.

Top 1% bill above $254.50.

About This Procedure

HCPCS code 00860 was billed by 10 providers across 2K claims, totaling $141K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$75.89

Providers Billing

10

National Spending

$141K

Avg/Median Ratio

1.31×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00860

#ProviderTotal Paid
11093767766$57K
21972126209$23K
31487602546$15K
41528010428$14K
51871986372$13K
61487609475$10K
71225016926$4K
81093078974$3K
91497797153$2K
101669581997$2K

Showing top 10 of 10 providers billing this code