01402
HCPCS Procedure Code
HCPCS code 01402 is the #3,925 most-billed Medicaid procedure code, with $1.0M in payments across 9,702 claims from 2018–2024. The national median cost per claim is $89.92. Costs vary widely — the 90th percentile is $238.67 per claim, 2.7× the median.
Total Paid
$1.0M
0.00% of all spending
Total Claims
9,702
Providers
48
Avg Cost/Claim
$104
National Cost Distribution
How much do providers bill per claim for 01402? Based on 41 providers billing this code nationally.
Median
$89.92
Average
$113.59
Std Dev
$86.40
Max
$392.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.32 and $122.54 per claim for this code.
90% bill between $29.21 and $238.67.
Top 1% bill above $380.69.
About This Procedure
HCPCS code 01402 was billed by 48 providers across 9,702 claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 7,503 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$89.92
Providers Billing
41
National Spending
$1.0M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01402
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871986372 | $238K |
| 2 | 1053354233 | $124K |
| 3 | 1558314427 | $123K |
| 4 | 1972126209 | $118K |
| 5 | 1558391763 | $67K |
| 6 | 1497797153 | $66K |
| 7 | 1487609475 | $44K |
| 8 | 1669581997 | $35K |
| 9 | 1053366377 | $33K |
| 10 | 1346267267 | $26K |
| 11 | 1740218767 | $18K |
| 12 | 1417994872 | $17K |
| 13 | 1952392946 | $14K |
| 14 | 1164535571 | $9K |
| 15 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $8K |
| 16 | 1407821796 | $7K |
| 17 | Montefiore Medical Center Bronx, NY · Anesthesiology | $7K |
| 18 | 1881353662 | $6K |
| 19 | 1225016926 | $6K |
| 20 | 1649264706 | $5K |
Showing top 20 of 48 providers billing this code