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#5002 of 11K

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)

p10
$4.02
p25
$7.64
Median
$8.54
p75
$9.73
p90
$27.26
p95
$35.88
p99
$42.77

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

#ProviderTotal Paid
11265433551$186K
21043215379$116K
31194711952$19K
41548354038$803
51184628919$197
61780676221$116

Showing top 6 of 6 providers billing this code