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#5039 of 11K

0271

HCPCS Procedure Code

HCPCS code 0271 is the #5,039 most-billed Medicaid procedure code, with $311K in payments across 96K claims from 2018–2024. The national median cost per claim is $2.35. Costs vary widely — the 90th percentile is $14.46 per claim, 6.2× the median.

Total Paid

$311K

0.00% of all spending

Total Claims

96K

Providers

93

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 0271? Based on 67 providers billing this code nationally.

Median

$2.35

Average

$7.47

Std Dev

$16.95

Max

$123.49

Percentile Distribution (Cost per Claim)

p10
$0.07
p25
$0.52
Median
$2.35
p75
$8.07
p90
$14.46
p95
$24.57
p99
$75.50

50% of providers bill between $0.52 and $8.07 per claim for this code.

90% bill between $0.07 and $14.46.

Top 1% bill above $75.50.

About This Procedure

HCPCS code 0271 was billed by 93 providers across 96K claims, totaling $311K in Medicaid payments from 2018–2024. This code was used for 86K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.35

Providers Billing

67

National Spending

$311K

Avg/Median Ratio

3.18×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0271

#ProviderTotal Paid
11710065933$68K
21326065103$35K
31336328244$33K
4Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$30K
51346232881$16K
61073519443$16K
71184654923$11K
81952546616$11K
91891059127$9K
101023000569$9K
111639172372$8K
121467459776$8K
131417965559$7K
141801821376$6K
151871010280$6K
16Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$5K
171063412005$4K
181407813660$3K
191023636545$3K
201700949336$3K

Showing top 20 of 93 providers billing this code