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#6863 of 11K

0251

HCPCS Procedure Code

HCPCS code 0251 is the #6,863 most-billed Medicaid procedure code, with $39K in payments across 6K claims from 2018–2024. The national median cost per claim is $3.05. Costs vary widely — the 90th percentile is $9.56 per claim, 3.1× the median.

Total Paid

$39K

0.00% of all spending

Total Claims

6K

Providers

10

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 0251? Based on 9 providers billing this code nationally.

Median

$3.05

Average

$5.54

Std Dev

$9.50

Max

$30.65

Percentile Distribution (Cost per Claim)

p10
$0.92
p25
$1.31
Median
$3.05
p75
$3.81
p90
$9.56
p95
$20.10
p99
$28.54

50% of providers bill between $1.31 and $3.81 per claim for this code.

90% bill between $0.92 and $9.56.

Top 1% bill above $28.54.

About This Procedure

HCPCS code 0251 was billed by 10 providers across 6K claims, totaling $39K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.05

Providers Billing

9

National Spending

$39K

Avg/Median Ratio

1.82×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 0251

#ProviderTotal Paid
11508859323$25K
2Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$6K
3Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$4K
41033716147$2K
51154715845$1K
61215927470$240
71184628919$177
81275578817$94
91003102781$86
101437121886$0

Showing top 10 of 10 providers billing this code