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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $45K |
| 2 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $18K |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1K |
| 4 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $690 |
| 5 | 1811957681 | $361 |
| 6 | 1548230501 | $0 |
| 7 | State University Of Iowa Iowa City, IA · General Acute Care Hospital | $0 |
| 8 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $0 |
Showing top 8 of 8 providers billing this code