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

#7213 of 11K

0371T

HCPCS Procedure Code

HCPCS code 0371T is the #7,213 most-billed Medicaid procedure code, with $25K in payments across 959 claims from 2018–2024. The national median cost per claim is $32.46. Costs vary widely — the 90th percentile is $72.00 per claim, 2.2× the median.

Total Paid

$25K

0.00% of all spending

Total Claims

959

Providers

8

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 0371T? Based on 8 providers billing this code nationally.

Median

$32.46

Average

$39.78

Std Dev

$22.77

Max

$72.00

Percentile Distribution (Cost per Claim)

p10
$19.42
p25
$20.53
Median
$32.46
p75
$56.25
p90
$72.00
p95
$72.00
p99
$72.00

50% of providers bill between $20.53 and $56.25 per claim for this code.

90% bill between $19.42 and $72.00.

Top 1% bill above $72.00.

About This Procedure

HCPCS code 0371T was billed by 8 providers across 959 claims, totaling $25K in Medicaid payments from 2018–2024. This code was used for 307 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.46

Providers Billing

8

National Spending

$25K

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 0371T

#ProviderTotal Paid
11083036107$11K
2County Of Muskegon

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

$5K
31023454451$3K
41427485184$2K
51801289020$2K
6Genesee Health System

Flint, MI · Community/Behavioral Health

$1K
71528145844$612
81528437050$504

Showing top 8 of 8 providers billing this code