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#6644 of 11K

01380

HCPCS Procedure Code

HCPCS code 01380 is the #6,644 most-billed Medicaid procedure code, with $50K in payments across 1,282 claims from 2018–2024. The national median cost per claim is $30.34.

Total Paid

$50K

0.00% of all spending

Total Claims

1,282

Providers

5

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 01380? Based on 5 providers billing this code nationally.

Median

$30.34

Average

$34.39

Std Dev

$9.43

Max

$44.79

Percentile Distribution (Cost per Claim)

p10
$25.91
p25
$29.45
Median
$30.34
p75
$43.84
p90
$44.41
p95
$44.60
p99
$44.75

50% of providers bill between $29.45 and $43.84 per claim for this code.

90% bill between $25.91 and $44.41.

Top 1% bill above $44.75.

About This Procedure

HCPCS code 01380 was billed by 5 providers across 1,282 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 823 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$30.34

Providers Billing

5

National Spending

$50K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01380

#ProviderTotal Paid
11740610039$39K
21336528926$6K
31780930743$3K
41821654666$2K
51235150228$1K

Showing top 5 of 5 providers billing this code

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