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#4971 of 11K

0209

HCPCS Procedure Code

HCPCS code 0209 is the #4,971 most-billed Medicaid procedure code, with $333K in payments across 348 claims from 2018–2024. The national median cost per claim is $957.67.

Total Paid

$333K

0.00% of all spending

Total Claims

348

Providers

1

Avg Cost/Claim

$958

National Cost Distribution

How much do providers bill per claim for 0209? Based on 1 providers billing this code nationally.

Median

$957.67

Average

$957.67

Std Dev

Max

$957.67

Percentile Distribution (Cost per Claim)

p10
$957.67
p25
$957.67
Median
$957.67
p75
$957.67
p90
$957.67
p95
$957.67
p99
$957.67

50% of providers bill between $957.67 and $957.67 per claim for this code.

90% bill between $957.67 and $957.67.

Top 1% bill above $957.67.

About This Procedure

HCPCS code 0209 was billed by 1 providers across 348 claims, totaling $333K in Medicaid payments from 2018–2024. This code was used for 335 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$957.67

Providers Billing

1

National Spending

$333K

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.