0366T
HCPCS Procedure Code
HCPCS code 0366T is the #4,828 most-billed Medicaid procedure code, with $384K in payments across 24K claims from 2018–2024. The national median cost per claim is $10.37. Costs vary widely — the 90th percentile is $27.65 per claim, 2.7× the median.
Total Paid
$384K
0.00% of all spending
Total Claims
24K
Providers
17
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for 0366T? Based on 14 providers billing this code nationally.
Median
$10.37
Average
$14.44
Std Dev
$10.42
Max
$28.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.99 and $24.19 per claim for this code.
90% bill between $2.78 and $27.65.
Top 1% bill above $28.68.
About This Procedure
HCPCS code 0366T was billed by 17 providers across 24K claims, totaling $384K in Medicaid payments from 2018–2024. This code was used for 2,091 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.37
Providers Billing
14
National Spending
$384K
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0366T
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genesee Health System Flint, MI · Community/Behavioral Health | $271K |
| 2 | 1790114593 | $37K |
| 3 | 1346273091 | $35K |
| 4 | Residential Opportunities Inc. Kalamazoo, MI · Residential Treatment Facility Intellectual and/or Developmental Disabilities | $20K |
| 5 | 1699966341 | $10K |
| 6 | Northeast Michigan Community Mental Health Authority Alpena, MI · Community/Behavioral Health | $3K |
| 7 | 1801909239 | $2K |
| 8 | 1851811525 | $2K |
| 9 | 1447521455 | $1K |
| 10 | 1306854880 | $1K |
| 11 | 1598007171 | $506 |
| 12 | 1467598730 | $429 |
| 13 | 1528437050 | $387 |
| 14 | 1972934537 | $170 |
| 15 | 1104051077 | $0 |
| 16 | 1477817435 | $0 |
| 17 | 1861850653 | $0 |
Showing top 17 of 17 providers billing this code