0223U
HCPCS Procedure Code
HCPCS code 0223U is the #2,209 most-billed Medicaid procedure code, with $7.9M in payments across 44K claims from 2018–2024. The national median cost per claim is $192.77.
Total Paid
$7.9M
0.00% of all spending
Total Claims
44K
Providers
50
Avg Cost/Claim
$177
National Cost Distribution
How much do providers bill per claim for 0223U? Based on 40 providers billing this code nationally.
Median
$192.77
Average
$195.48
Std Dev
$124.68
Max
$408.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $105.68 and $301.83 per claim for this code.
90% bill between $17.31 and $368.05.
Top 1% bill above $407.63.
About This Procedure
HCPCS code 0223U was billed by 50 providers across 44K claims, totaling $7.9M in Medicaid payments from 2018–2024. This code was used for 39K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$192.77
Providers Billing
40
National Spending
$7.9M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0223U
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1972625499 | $1.6M |
| 2 | 1982695441 | $897K |
| 3 | 1346291986 | $863K |
| 4 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $843K |
| 5 | 1205877172 | $695K |
| 6 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $484K |
| 7 | 1417005760 | $456K |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $339K |
| 9 | 1831183748 | $282K |
| 10 | Samaritan Hospital Of Troy, New York Troy, NY | $191K |
| 11 | 1750384079 | $189K |
| 12 | 1497701106 | $140K |
| 13 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $131K |
| 14 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $127K |
| 15 | 1972523348 | $99K |
| 16 | 1790780047 | $84K |
| 17 | 1104859131 | $80K |
| 18 | 1932146461 | $57K |
| 19 | 1134126659 | $52K |
| 20 | 1184706152 | $44K |
Showing top 20 of 50 providers billing this code