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#3184 of 11K

01400

HCPCS Procedure Code

HCPCS code 01400 is the #3,184 most-billed Medicaid procedure code, with $2.3M in payments across 29K claims from 2018–2024. The national median cost per claim is $68.05. Costs vary widely — the 90th percentile is $198.80 per claim, 2.9× the median.

Total Paid

$2.3M

0.00% of all spending

Total Claims

29K

Providers

125

Avg Cost/Claim

$80

National Cost Distribution

How much do providers bill per claim for 01400? Based on 106 providers billing this code nationally.

Median

$68.05

Average

$107.47

Std Dev

$154.69

Max

$1,481.71

Percentile Distribution (Cost per Claim)

p10
$18.19
p25
$50.62
Median
$68.05
p75
$121.79
p90
$198.80
p95
$274.60
p99
$364.71

50% of providers bill between $50.62 and $121.79 per claim for this code.

90% bill between $18.19 and $198.80.

Top 1% bill above $364.71.

About This Procedure

HCPCS code 01400 was billed by 125 providers across 29K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$68.05

Providers Billing

106

National Spending

$2.3M

Avg/Median Ratio

1.58×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 01400

#ProviderTotal Paid
11871986372$218K
21558314427$210K
31053354233$198K
41346267267$168K
51972126209$151K
61497797153$115K
71225016926$111K
81558391763$109K
91407821796$108K
101417994872$82K
111144626714$78K
121831536531$63K
13Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$61K
141487609475$54K
151669581997$53K
161114378981$43K
171598188948$31K
181306913488$26K
191952392946$26K
201750300836$22K

Showing top 20 of 125 providers billing this code

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