0113
HCPCS Procedure Code
HCPCS code 0113 is the #2,828 most-billed Medicaid procedure code, with $3.5M in payments across 3K claims from 2018–2024. The national median cost per claim is $1,005.24. Costs vary widely — the 90th percentile is $5,174.93 per claim, 5.1× the median.
Total Paid
$3.5M
0.00% of all spending
Total Claims
3K
Providers
5
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 0113? Based on 4 providers billing this code nationally.
Median
$1,005.24
Average
$2,155.00
Std Dev
$3,074.18
Max
$6,584.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $99.50 and $3,060.74 per claim for this code.
90% bill between $54.88 and $5,174.93.
Top 1% bill above $6,443.44.
About This Procedure
HCPCS code 0113 was billed by 5 providers across 3K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,005.24
Providers Billing
4
National Spending
$3.5M
Avg/Median Ratio
2.14×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0113
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710065933 | $3.3M |
| 2 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $145K |
| 3 | 1124173059 | $23K |
| 4 | 1699986331 | $5K |
| 5 | 1669617197 | $0 |
Showing top 5 of 5 providers billing this code