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#5318 of 11K

0204U

HCPCS Procedure Code

HCPCS code 0204U is the #5,318 most-billed Medicaid procedure code, with $230K in payments across 1K claims from 2018–2024. The national median cost per claim is $203.67.

Total Paid

$230K

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$193

National Cost Distribution

How much do providers bill per claim for 0204U? Based on 1 providers billing this code nationally.

Median

$203.67

Average

$203.67

Std Dev

Max

$203.67

Percentile Distribution (Cost per Claim)

p10
$203.67
p25
$203.67
Median
$203.67
p75
$203.67
p90
$203.67
p95
$203.67
p99
$203.67

50% of providers bill between $203.67 and $203.67 per claim for this code.

90% bill between $203.67 and $203.67.

Top 1% bill above $203.67.

About This Procedure

HCPCS code 0204U was billed by 2 providers across 1K claims, totaling $230K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$203.67

Providers Billing

1

National Spending

$230K

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.