Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7402 of 11K

0356U

HCPCS Procedure Code

HCPCS code 0356U is the #7,402 most-billed Medicaid procedure code, with $19K in payments across 459 claims from 2018–2024. The national median cost per claim is $41.01.

Total Paid

$19K

0.00% of all spending

Total Claims

459

Providers

2

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 0356U? Based on 2 providers billing this code nationally.

Median

$41.01

Average

$41.01

Std Dev

$43.56

Max

$71.81

Percentile Distribution (Cost per Claim)

p10
$16.37
p25
$25.61
Median
$41.01
p75
$56.41
p90
$65.65
p95
$68.73
p99
$71.19

50% of providers bill between $25.61 and $56.41 per claim for this code.

90% bill between $16.37 and $65.65.

Top 1% bill above $71.19.

About This Procedure

HCPCS code 0356U was billed by 2 providers across 459 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 405 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.01

Providers Billing

2

National Spending

$19K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.