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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508859323 | $25K |
| 2 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $6K |
| 3 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $4K |
| 4 | 1033716147 | $2K |
| 5 | 1154715845 | $1K |
| 6 | 1215927470 | $240 |
| 7 | 1184628919 | $177 |
| 8 | 1275578817 | $94 |
| 9 | 1003102781 | $86 |
| 10 | 1437121886 | $0 |
Showing top 10 of 10 providers billing this code