0401
HCPCS Procedure Code
HCPCS code 0401 is the #6,807 most-billed Medicaid procedure code, with $42K in payments across 1K claims from 2018–2024. The national median cost per claim is $23.89. Costs vary widely — the 90th percentile is $93.85 per claim, 3.9× the median.
Total Paid
$42K
0.00% of all spending
Total Claims
1K
Providers
14
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for 0401? Based on 8 providers billing this code nationally.
Median
$23.89
Average
$40.36
Std Dev
$41.42
Max
$95.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.70 and $79.67 per claim for this code.
90% bill between $3.86 and $93.85.
Top 1% bill above $95.11.
About This Procedure
HCPCS code 0401 was billed by 14 providers across 1K claims, totaling $42K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.89
Providers Billing
8
National Spending
$42K
Avg/Median Ratio
1.69×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0401
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $34K |
| 2 | 1538141627 | $3K |
| 3 | 1639172372 | $2K |
| 4 | 1104906569 | $2K |
| 5 | 1962442012 | $500 |
| 6 | 1285845982 | $278 |
| 7 | 1598773715 | $203 |
| 8 | 1699986331 | $5 |
| 9 | 1992752315 | $0 |
| 10 | 1760510937 | $0 |
| 11 | 1194926279 | $0 |
| 12 | 1518951300 | $0 |
| 13 | 1558575746 | $0 |
| 14 | 1275576381 | $0 |
Showing top 14 of 14 providers billing this code