0100U
HCPCS Procedure Code
HCPCS code 0100U is the #3,152 most-billed Medicaid procedure code, with $2.4M in payments across 25K claims from 2018–2024. The national median cost per claim is $44.58. Costs vary widely — the 90th percentile is $404.68 per claim, 9.1× the median.
Total Paid
$2.4M
0.00% of all spending
Total Claims
25K
Providers
101
Avg Cost/Claim
$96
National Cost Distribution
How much do providers bill per claim for 0100U? Based on 80 providers billing this code nationally.
Median
$44.58
Average
$121.87
Std Dev
$163.41
Max
$612.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.52 and $145.78 per claim for this code.
90% bill between $2.23 and $404.68.
Top 1% bill above $591.43.
About This Procedure
HCPCS code 0100U was billed by 101 providers across 25K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$44.58
Providers Billing
80
National Spending
$2.4M
Avg/Median Ratio
2.73×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0100U
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275620585 | $439K |
| 2 | 1235215427 | $195K |
| 3 | 1174822068 | $192K |
| 4 | 1366444507 | $174K |
| 5 | 1437156346 | $164K |
| 6 | 1568569796 | $139K |
| 7 | 1730264128 | $114K |
| 8 | 1861545683 | $78K |
| 9 | 1538244918 | $58K |
| 10 | 1992176655 | $58K |
| 11 | 1609869916 | $52K |
| 12 | 1194740787 | $47K |
| 13 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $45K |
| 14 | 1447231956 | $45K |
| 15 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $42K |
| 16 | 1881632818 | $38K |
| 17 | 1366407587 | $36K |
| 18 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $35K |
| 19 | 1245756212 | $28K |
| 20 | 1821198755 | $27K |
Showing top 20 of 101 providers billing this code