0272
HCPCS Procedure Code
HCPCS code 0272 is the #2,250 most-billed Medicaid procedure code, with $7.4M in payments across 414K claims from 2018–2024. The national median cost per claim is $6.04. Costs vary widely — the 90th percentile is $80.23 per claim, 13.3× the median.
Total Paid
$7.4M
0.00% of all spending
Total Claims
414K
Providers
260
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for 0272? Based on 189 providers billing this code nationally.
Median
$6.04
Average
$43.46
Std Dev
$246.56
Max
$3,325.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.47 and $18.36 per claim for this code.
90% bill between $0.18 and $80.23.
Top 1% bill above $367.37.
About This Procedure
HCPCS code 0272 was billed by 260 providers across 414K claims, totaling $7.4M in Medicaid payments from 2018–2024. This code was used for 360K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.04
Providers Billing
189
National Spending
$7.4M
Avg/Median Ratio
7.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0272
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801821376 | $699K |
| 2 | 1740215219 | $565K |
| 3 | 1477610640 | $554K |
| 4 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $425K |
| 5 | 1073665360 | $407K |
| 6 | 1154368116 | $395K |
| 7 | 1992736599 | $266K |
| 8 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $248K |
| 9 | 1952546616 | $236K |
| 10 | 1215927470 | $210K |
| 11 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $202K |
| 12 | 1639172372 | $199K |
| 13 | 1578529285 | $179K |
| 14 | 1114081056 | $161K |
| 15 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $129K |
| 16 | 1770728438 | $115K |
| 17 | 1114971660 | $111K |
| 18 | 1013981554 | $105K |
| 19 | 1639523004 | $103K |
| 20 | 1184654923 | $102K |
Showing top 20 of 260 providers billing this code