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#7272 of 11K

0295T

HCPCS Procedure Code

HCPCS code 0295T is the #7,272 most-billed Medicaid procedure code, with $23K in payments across 1,451 claims from 2018–2024. The national median cost per claim is $27.64. Costs vary widely — the 90th percentile is $145.54 per claim, 5.3× the median.

Total Paid

$23K

0.00% of all spending

Total Claims

1,451

Providers

12

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for 0295T? Based on 8 providers billing this code nationally.

Median

$27.64

Average

$72.55

Std Dev

$132.68

Max

$400.00

Percentile Distribution (Cost per Claim)

p10
$17.39
p25
$25.14
Median
$27.64
p75
$35.55
p90
$145.54
p95
$272.77
p99
$374.55

50% of providers bill between $25.14 and $35.55 per claim for this code.

90% bill between $17.39 and $145.54.

Top 1% bill above $374.55.

About This Procedure

HCPCS code 0295T was billed by 12 providers across 1,451 claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 1,296 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.64

Providers Billing

8

National Spending

$23K

Avg/Median Ratio

2.62×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0295T

#ProviderTotal Paid
11508266347$7K
21750613329$5K
31952569527$5K
41225172562$2K
51407157647$2K
61326091448$1K
71962423897$587
81760531198$439
91548538200$0
10Ochsner Clinic Llc

New Orleans, LA · Surgery

$0
111669499414$0
121730402645$0

Showing top 12 of 12 providers billing this code