0250
HCPCS Procedure Code
HCPCS code 0250 is the #787 most-billed Medicaid procedure code, with $80.0M in payments across 5.5M claims from 2018–2024. The national median cost per claim is $3.70. Costs vary widely — the 90th percentile is $34.17 per claim, 9.2× the median.
Total Paid
$80.0M
0.01% of all spending
Total Claims
5.5M
Providers
858
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for 0250? Based on 634 providers billing this code nationally.
Median
$3.70
Average
$20.86
Std Dev
$113.53
Max
$2,429.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.78 and $10.67 per claim for this code.
90% bill between $0.22 and $34.17.
Top 1% bill above $210.15.
About This Procedure
HCPCS code 0250 was billed by 858 providers across 5.5M claims, totaling $80.0M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.70
Providers Billing
634
National Spending
$80.0M
Avg/Median Ratio
5.64×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0250
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1114081056 | $15.7M |
| 2 | Port City Operating Company Llc Stockton, CA · General Acute Care Hospital | $10.7M |
| 3 | 1194840421 | $6.2M |
| 4 | 1417089350 | $3.1M |
| 5 | Palomar Health Escondido, CA · General Acute Care Hospital | $2.7M |
| 6 | 1477610640 | $1.7M |
| 7 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $1.3M |
| 8 | 1417901091 | $1.2M |
| 9 | 1356390264 | $1.0M |
| 10 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $884K |
| 11 | 1114367497 | $796K |
| 12 | 1639523004 | $793K |
| 13 | 1861409823 | $772K |
| 14 | 1972503142 | $746K |
| 15 | 1295181477 | $718K |
| 16 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $695K |
| 17 | 1376513754 | $660K |
| 18 | 1831188275 | $620K |
| 19 | 1316938301 | $590K |
| 20 | 1699129601 | $589K |
Showing top 20 of 858 providers billing this code