#3980 of 11K

00918

HCPCS Procedure Code

HCPCS code 00918 is the #3,980 most-billed Medicaid procedure code, with $961K in payments across 15K claims from 2018–2024. The national median cost per claim is $47.92. Costs vary widely — the 90th percentile is $126.22 per claim, 2.6× the median.

Total Paid

$961K

0.00% of all spending

Total Claims

15K

Providers

Avg Cost/Claim

$64

National Cost Distribution

How much do providers bill per claim for 00918? Based on 44 providers billing this code nationally.

Median

$47.92

Average

$72.71

Std Dev

$64.60

Max

$377.20

Percentile Distribution (Cost per Claim)

p10

$33.52

p25

$38.49

Median

$47.92

p75

$77.07

p90

$126.22

p95

$190.23

p99

$307.27

50% of providers bill between $38.49 and $77.07 per claim for this code.

90% bill between $33.52 and $126.22.

Top 1% bill above $307.27.

About This Procedure

HCPCS code 00918 was billed by 51 providers across 15K claims, totaling $961K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$47.92

Providers Billing

National Spending

$961K

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 00918

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1053354233	$149K	$377.20	7.9× median	Top 1%
2	1972126209	$137K	$47.94	1.0× median	Above Median
3	1497797153	$99K	$49.60	1.0× median	Above Median
4	1669581997	$94K	$47.51	1.0× median	Below Median
5	1225016926	$94K	$60.01	1.3× median	Above Median
6	1558391763	$79K	$214.58	4.5× median	Top 10%
7	1558314427	$76K	$114.10	2.4× median	Above 75th
8	1487609475	$56K	$46.44	1.0× median	Below Median
9	1417994872	$24K	$74.99	1.6× median	Above Median
10	William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease	$22K	$43.78	0.9× median	Below Median
11	1053366377	$19K	$68.40	1.4× median	Above Median
12	1871986372	$15K	$53.26	1.1× median	Above Median
13	1295776052	$14K	$43.96	0.9× median	Below Median
14	1114378981	$8K	$42.93	0.9× median	Below Median
15	1538105010	$6K	$57.03	1.2× median	Above Median
16	1366498107	$6K	$46.89	1.0× median	Below Median
17	1093767766	$6K	$71.10	1.5× median	Above Median
18	1407821796	$6K	$58.67	1.2× median	Above Median
19	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$5K	$126.60	2.6× median	Top 10%
20	1740218767	$5K	$31.70	0.7× median	Below Median

Showing top 20 of 51 providers billing this code

Related Procedures

00920$5.6M 0915$5.1M 00910$1.8M 0912$519K 0914$202K

← All procedures Top providers →