0257
HCPCS Procedure Code
HCPCS code 0257 is the #6,956 most-billed Medicaid procedure code, with $35K in payments across 11K claims from 2018–2024. The national median cost per claim is $4.32.
Total Paid
$35K
0.00% of all spending
Total Claims
11K
Providers
7
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 0257? Based on 5 providers billing this code nationally.
Median
$4.32
Average
$3.90
Std Dev
$1.94
Max
$6.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.89 and $5.29 per claim for this code.
90% bill between $1.89 and $5.79.
Top 1% bill above $6.09.
About This Procedure
HCPCS code 0257 was billed by 7 providers across 11K claims, totaling $35K in Medicaid payments from 2018–2024. This code was used for 9,199 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.32
Providers Billing
5
National Spending
$35K
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0257
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407813660 | $25K |
| 2 | 1184628919 | $5K |
| 3 | 1215927470 | $3K |
| 4 | 1962444059 | $3K |
| 5 | 1811080526 | $73 |
| 6 | 1497748081 | $0 |
| 7 | 1922033547 | $0 |
Showing top 7 of 7 providers billing this code