Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4515 of 11K

0172U

HCPCS Procedure Code

HCPCS code 0172U is the #4,515 most-billed Medicaid procedure code, with $537K in payments across 768 claims from 2018–2024. The national median cost per claim is $699.20.

Total Paid

$537K

0.00% of all spending

Total Claims

768

Providers

1

Avg Cost/Claim

$699

National Cost Distribution

How much do providers bill per claim for 0172U? Based on 1 providers billing this code nationally.

Median

$699.20

Average

$699.20

Std Dev

Max

$699.20

Percentile Distribution (Cost per Claim)

p10
$699.20
p25
$699.20
Median
$699.20
p75
$699.20
p90
$699.20
p95
$699.20
p99
$699.20

50% of providers bill between $699.20 and $699.20 per claim for this code.

90% bill between $699.20 and $699.20.

Top 1% bill above $699.20.

About This Procedure

HCPCS code 0172U was billed by 1 providers across 768 claims, totaling $537K in Medicaid payments from 2018–2024. This code was used for 658 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$699.20

Providers Billing

1

National Spending

$537K

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.

Related Procedures