0296T
HCPCS Procedure Code
HCPCS code 0296T is the #5,040 most-billed Medicaid procedure code, with $311K in payments across 16K claims from 2018–2024. The national median cost per claim is $10.85. Costs vary widely — the 90th percentile is $55.13 per claim, 5.1× the median.
Total Paid
$311K
0.00% of all spending
Total Claims
16K
Providers
108
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 0296T? Based on 102 providers billing this code nationally.
Median
$10.85
Average
$22.30
Std Dev
$32.76
Max
$209.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.40 and $26.19 per claim for this code.
90% bill between $1.07 and $55.13.
Top 1% bill above $166.89.
About This Procedure
HCPCS code 0296T was billed by 108 providers across 16K claims, totaling $311K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.85
Providers Billing
102
National Spending
$311K
Avg/Median Ratio
2.06×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0296T
| # | Provider | Total Paid |
|---|---|---|
| 1 | Newark Beth Israel Medical Center Inc Newark, NJ · General Acute Care Hospital | $45K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $39K |
| 3 | 1023331303 | $28K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $27K |
| 5 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $22K |
| 6 | 1336245828 | $20K |
| 7 | 1063414258 | $13K |
| 8 | 1770693939 | $9K |
| 9 | 1467440743 | $9K |
| 10 | 1306845557 | $7K |
| 11 | 1881987675 | $7K |
| 12 | 1487904546 | $5K |
| 13 | 1538244918 | $5K |
| 14 | 1679677983 | $5K |
| 15 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $4K |
| 16 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $4K |
| 17 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $4K |
| 18 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $4K |
| 19 | 1649220724 | $3K |
| 20 | 1619914785 | $3K |
Showing top 20 of 108 providers billing this code