0279
HCPCS Procedure Code
HCPCS code 0279 is the #5,002 most-billed Medicaid procedure code, with $323K in payments across 27K claims from 2018–2024. The national median cost per claim is $8.54. Costs vary widely — the 90th percentile is $27.26 per claim, 3.2× the median.
Total Paid
$323K
0.00% of all spending
Total Claims
27K
Providers
6
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for 0279? Based on 6 providers billing this code nationally.
Median
$8.54
Average
$13.27
Std Dev
$15.65
Max
$44.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.64 and $9.73 per claim for this code.
90% bill between $4.02 and $27.26.
Top 1% bill above $42.77.
About This Procedure
HCPCS code 0279 was billed by 6 providers across 27K claims, totaling $323K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.54
Providers Billing
6
National Spending
$323K
Avg/Median Ratio
1.55×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0279
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1265433551 | $186K |
| 2 | 1043215379 | $116K |
| 3 | 1194711952 | $19K |
| 4 | 1548354038 | $803 |
| 5 | 1184628919 | $197 |
| 6 | 1780676221 | $116 |
Showing top 6 of 6 providers billing this code