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#6431 of 11K

0115U

HCPCS Procedure Code

HCPCS code 0115U is the #6,431 most-billed Medicaid procedure code, with $65K in payments across 2,418 claims from 2018–2024. The national median cost per claim is $27.80.

Total Paid

$65K

0.00% of all spending

Total Claims

2,418

Providers

8

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 0115U? Based on 5 providers billing this code nationally.

Median

$27.80

Average

$29.69

Std Dev

$15.13

Max

$53.06

Percentile Distribution (Cost per Claim)

p10
$16.91
p25
$25.81
Median
$27.80
p75
$30.82
p90
$44.16
p95
$48.61
p99
$52.17

50% of providers bill between $25.81 and $30.82 per claim for this code.

90% bill between $16.91 and $44.16.

Top 1% bill above $52.17.

About This Procedure

HCPCS code 0115U was billed by 8 providers across 2,418 claims, totaling $65K in Medicaid payments from 2018–2024. This code was used for 2,252 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.80

Providers Billing

5

National Spending

$65K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0115U

#ProviderTotal Paid
1Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$45K
2Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$18K
3Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$1K
4Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$690
51811957681$361
61548230501$0
7State University Of Iowa

Iowa City, IA · General Acute Care Hospital

$0
8Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$0

Showing top 8 of 8 providers billing this code