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#3633 of 11K

00902

HCPCS Procedure Code

HCPCS code 00902 is the #3,633 most-billed Medicaid procedure code, with $1.4M in payments across 19K claims from 2018–2024. The national median cost per claim is $68.93. Costs vary widely — the 90th percentile is $235.87 per claim, 3.4× the median.

Total Paid

$1.4M

0.00% of all spending

Total Claims

19K

Providers

61

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 00902? Based on 54 providers billing this code nationally.

Median

$68.93

Average

$129.88

Std Dev

$255.50

Max

$1,888.00

Percentile Distribution (Cost per Claim)

p10
$36.80
p25
$47.07
Median
$68.93
p75
$130.00
p90
$235.87
p95
$287.07
p99
$1,056.69

50% of providers bill between $47.07 and $130.00 per claim for this code.

90% bill between $36.80 and $235.87.

Top 1% bill above $1,056.69.

About This Procedure

HCPCS code 00902 was billed by 61 providers across 19K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.93

Providers Billing

54

National Spending

$1.4M

Avg/Median Ratio

1.88×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 00902

#ProviderTotal Paid
11053354233$205K
21578893038$200K
31972126209$166K
41871986372$141K
51225016926$101K
61487609475$57K
71497797153$50K
81447657275$49K
91669581997$47K
101710324041$40K
111558314427$31K
12William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$31K
131982906079$27K
141093767766$26K
151417994872$21K
161629051230$20K
171831536531$19K
181376536037$18K
191346267267$18K
201023044377$18K

Showing top 20 of 61 providers billing this code