0200
HCPCS Procedure Code
HCPCS code 0200 is the #2,804 most-billed Medicaid procedure code, with $3.5M in payments across 7K claims from 2018–2024. The national median cost per claim is $3,200.11. Costs vary widely — the 90th percentile is $10,267.65 per claim, 3.2× the median.
Total Paid
$3.5M
0.00% of all spending
Total Claims
7K
Providers
12
Avg Cost/Claim
$511
National Cost Distribution
How much do providers bill per claim for 0200? Based on 9 providers billing this code nationally.
Median
$3,200.11
Average
$3,931.25
Std Dev
$4,450.85
Max
$12,473.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $271.97 and $4,693.13 per claim for this code.
90% bill between $131.09 and $10,267.65.
Top 1% bill above $12,253.06.
About This Procedure
HCPCS code 0200 was billed by 12 providers across 7K claims, totaling $3.5M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3,200.11
Providers Billing
9
National Spending
$3.5M
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0200
| # | Provider | Total Paid |
|---|---|---|
| 1 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $2.0M |
| 2 | 1427123132 | $437K |
| 3 | 1336328244 | $294K |
| 4 | 1699986331 | $276K |
| 5 | 1336279959 | $187K |
| 6 | 1487865184 | $122K |
| 7 | 1194840421 | $96K |
| 8 | 1124173059 | $89K |
| 9 | 1518940667 | $70K |
| 10 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $0 |
| 11 | 1285845982 | $0 |
| 12 | 1750503017 | $0 |
Showing top 12 of 12 providers billing this code