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#1385 of 11K

0214

HCPCS Procedure Code

HCPCS code 0214 is the #1,385 most-billed Medicaid procedure code, with $24.9M in payments across 9K claims from 2018–2024. The national median cost per claim is $1,282.92. Costs vary widely — the 90th percentile is $7,757.46 per claim, 6.0× the median.

Total Paid

$24.9M

0.00% of all spending

Total Claims

9K

Providers

28

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for 0214? Based on 25 providers billing this code nationally.

Median

$1,282.92

Average

$2,532.64

Std Dev

$3,011.64

Max

$10,434.95

Percentile Distribution (Cost per Claim)

p10
$180.01
p25
$366.76
Median
$1,282.92
p75
$3,020.35
p90
$7,757.46
p95
$8,726.51
p99
$10,045.43

50% of providers bill between $366.76 and $3,020.35 per claim for this code.

90% bill between $180.01 and $7,757.46.

Top 1% bill above $10,045.43.

About This Procedure

HCPCS code 0214 was billed by 28 providers across 9K claims, totaling $24.9M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,282.92

Providers Billing

25

National Spending

$24.9M

Avg/Median Ratio

1.97×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 0214

#ProviderTotal Paid
11932197258$16.6M
21114547114$2.1M
31811129752$1.2M
41194840421$793K
51073665360$620K
61043215379$619K
71265433551$412K
81578529285$390K
91477502797$329K
10University Of California Irvine

Orange, CA · General Acute Care Hospital

$284K
111336173269$235K
121295181477$226K
131477587632$221K
141689732885$211K
15County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$175K
161114081056$142K
171417089350$137K
181477610640$88K
191154428688$86K
201750365375$35K

Showing top 20 of 28 providers billing this code