#2426 of 11K

01480

HCPCS Procedure Code

HCPCS code 01480 is the #2,426 most-billed Medicaid procedure code, with $5.9M in payments across 82K claims from 2018–2024. The national median cost per claim is $63.26. Costs vary widely — the 90th percentile is $168.84 per claim, 2.7× the median.

Total Paid

$5.9M

0.00% of all spending

Total Claims

82K

Providers

182

Avg Cost/Claim

$71

National Cost Distribution

How much do providers bill per claim for 01480? Based on 162 providers billing this code nationally.

Median

$63.26

Average

$85.67

Std Dev

$68.85

Max

$407.49

Percentile Distribution (Cost per Claim)

p10

$11.81

p25

$45.77

Median

$63.26

p75

$112.51

p90

$168.84

p95

$231.41

p99

$301.52

50% of providers bill between $45.77 and $112.51 per claim for this code.

90% bill between $11.81 and $168.84.

Top 1% bill above $301.52.

About This Procedure

HCPCS code 01480 was billed by 182 providers across 82K claims, totaling $5.9M in Medicaid payments from 2018–2024. This code was used for 59K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.26

Providers Billing

162

National Spending

$5.9M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 01480

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1558314427	$473K	$99.82	1.6× median	Above Median
2	1053354233	$471K	$295.49	4.7× median	Top 10%
3	1871986372	$449K	$62.54	1.0× median	Below Median
4	1972126209	$278K	$54.00	0.9× median	Below Median
5	1558391763	$253K	$238.83	3.8× median	Top 10%
6	1225016926	$234K	$51.36	0.8× median	Below Median
7	1053366377	$226K	$78.27	1.2× median	Above Median
8	1346267267	$225K	$128.23	2.0× median	Above 75th
9	1417994872	$214K	$72.15	1.1× median	Above Median
10	1669581997	$165K	$48.35	0.8× median	Below Median
11	1497797153	$164K	$50.59	0.8× median	Below Median
12	1407821796	$163K	$55.26	0.9× median	Below Median
13	1487609475	$128K	$49.96	0.8× median	Below Median
14	1508947441	$116K	$201.92	3.2× median	Top 10%
15	1649264706	$109K	$145.12	2.3× median	Above 75th
16	1063710689	$95K	$40.92	0.6× median	Below Median
17	1003989690	$86K	$63.47	1.0× median	Above Median
18	1922031442	$74K	$57.43	0.9× median	Below Median
19	West Virginia University Medical Corporation Morgantown, WV · Anesthesiology	$74K	$127.64	2.0× median	Above 75th
20	1598896995	$65K	$50.88	0.8× median	Below Median

Showing top 20 of 182 providers billing this code

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