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#6987 of 11K

0180

HCPCS Procedure Code

HCPCS code 0180 is the #6,987 most-billed Medicaid procedure code, with $33K in payments across 527 claims from 2018–2024. The national median cost per claim is $1,053.93.

Total Paid

$33K

0.00% of all spending

Total Claims

527

Providers

3

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for 0180? Based on 2 providers billing this code nationally.

Median

$1,053.93

Average

$1,053.93

Std Dev

$462.72

Max

$1,381.12

Percentile Distribution (Cost per Claim)

p10
$792.18
p25
$890.34
Median
$1,053.93
p75
$1,217.53
p90
$1,315.69
p95
$1,348.41
p99
$1,374.58

50% of providers bill between $890.34 and $1,217.53 per claim for this code.

90% bill between $792.18 and $1,315.69.

Top 1% bill above $1,374.58.

About This Procedure

HCPCS code 0180 was billed by 3 providers across 527 claims, totaling $33K in Medicaid payments from 2018–2024. This code was used for 326 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,053.93

Providers Billing

2

National Spending

$33K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.