0242U
HCPCS Procedure Code
HCPCS code 0242U is the #2,222 most-billed Medicaid procedure code, with $7.7M in payments across 11K claims from 2018–2024. The national median cost per claim is $717.05.
Total Paid
$7.7M
0.00% of all spending
Total Claims
11K
Providers
1
Avg Cost/Claim
$717
National Cost Distribution
How much do providers bill per claim for 0242U? Based on 1 providers billing this code nationally.
Median
$717.05
Average
$717.05
Std Dev
—
Max
$717.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $717.05 and $717.05 per claim for this code.
90% bill between $717.05 and $717.05.
Top 1% bill above $717.05.
About This Procedure
HCPCS code 0242U was billed by 1 providers across 11K claims, totaling $7.7M in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$717.05
Providers Billing
1
National Spending
$7.7M
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.