0154
HCPCS Procedure Code
HCPCS code 0154 is the #5,834 most-billed Medicaid procedure code, with $131K in payments across 25 claims from 2018–2024. The national median cost per claim is $5,244.00.
Total Paid
$131K
0.00% of all spending
Total Claims
25
Providers
1
Avg Cost/Claim
$5K
National Cost Distribution
How much do providers bill per claim for 0154? Based on 1 providers billing this code nationally.
Median
$5,244.00
Average
$5,244.00
Std Dev
—
Max
$5,244.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $5,244.00 and $5,244.00 per claim for this code.
90% bill between $5,244.00 and $5,244.00.
Top 1% bill above $5,244.00.
About This Procedure
HCPCS code 0154 was billed by 1 providers across 25 claims, totaling $131K in Medicaid payments from 2018–2024. This code was used for 24 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5,244.00
Providers Billing
1
National Spending
$131K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.