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#5053 of 11K

0362T

HCPCS Procedure Code

HCPCS code 0362T is the #5,053 most-billed Medicaid procedure code, with $306K in payments across 14K claims from 2018–2024. The national median cost per claim is $40.36. Costs vary widely — the 90th percentile is $230.27 per claim, 5.7× the median.

Total Paid

$306K

0.00% of all spending

Total Claims

14K

Providers

10

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 0362T? Based on 10 providers billing this code nationally.

Median

$40.36

Average

$162.43

Std Dev

$356.11

Max

$1,170.20

Percentile Distribution (Cost per Claim)

p10
$15.08
p25
$24.87
Median
$40.36
p75
$87.23
p90
$230.27
p95
$700.23
p99
$1,076.20

50% of providers bill between $24.87 and $87.23 per claim for this code.

90% bill between $15.08 and $230.27.

Top 1% bill above $1,076.20.

About This Procedure

HCPCS code 0362T was billed by 10 providers across 14K claims, totaling $306K in Medicaid payments from 2018–2024. This code was used for 1,847 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.36

Providers Billing

10

National Spending

$306K

Avg/Median Ratio

4.02×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0362T

#ProviderTotal Paid
11295884229$116K
21821494584$89K
31467598730$37K
41801909239$28K
51588300131$26K
6County Of Muskegon

Muskegon, MI · Clinic/Center, Mental Health (Including Community Mental Health Center)

$5K
71063834539$2K
81104333715$1K
91609363183$842
101922449057$458

Showing top 10 of 10 providers billing this code