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#6956 of 11K

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)

p10
$1.89
p25
$1.89
Median
$4.32
p75
$5.29
p90
$5.79
p95
$5.96
p99
$6.09

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

#ProviderTotal Paid
11407813660$25K
21184628919$5K
31215927470$3K
41962444059$3K
51811080526$73
61497748081$0
71922033547$0

Showing top 7 of 7 providers billing this code