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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508266347 | $7K |
| 2 | 1750613329 | $5K |
| 3 | 1952569527 | $5K |
| 4 | 1225172562 | $2K |
| 5 | 1407157647 | $2K |
| 6 | 1326091448 | $1K |
| 7 | 1962423897 | $587 |
| 8 | 1760531198 | $439 |
| 9 | 1548538200 | $0 |
| 10 | Ochsner Clinic Llc New Orleans, LA · Surgery | $0 |
| 11 | 1669499414 | $0 |
| 12 | 1730402645 | $0 |
Showing top 12 of 12 providers billing this code