0185
HCPCS Procedure Code
HCPCS code 0185 is the #6,432 most-billed Medicaid procedure code, with $65K in payments across 81 claims from 2018–2024. The national median cost per claim is $788.23.
Total Paid
$65K
0.00% of all spending
Total Claims
81
Providers
3
Avg Cost/Claim
$808
National Cost Distribution
How much do providers bill per claim for 0185? Based on 3 providers billing this code nationally.
Median
$788.23
Average
$840.85
Std Dev
$325.03
Max
$1,188.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $666.78 and $988.60 per claim for this code.
90% bill between $593.92 and $1,108.82.
Top 1% bill above $1,180.96.
About This Procedure
HCPCS code 0185 was billed by 3 providers across 81 claims, totaling $65K in Medicaid payments from 2018–2024. This code was used for 66 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$788.23
Providers Billing
3
National Spending
$65K
Avg/Median Ratio
1.07×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.