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#5998 of 11K

0402T

HCPCS Procedure Code

HCPCS code 0402T is the #5,998 most-billed Medicaid procedure code, with $108K in payments across 45 claims from 2018–2024. The national median cost per claim is $2,020.93.

Total Paid

$108K

0.00% of all spending

Total Claims

45

Providers

2

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 0402T? Based on 2 providers billing this code nationally.

Median

$2,020.93

Average

$2,020.93

Std Dev

$1,870.29

Max

$3,343.43

Percentile Distribution (Cost per Claim)

p10
$962.93
p25
$1,359.68
Median
$2,020.93
p75
$2,682.18
p90
$3,078.93
p95
$3,211.18
p99
$3,316.98

50% of providers bill between $1,359.68 and $2,682.18 per claim for this code.

90% bill between $962.93 and $3,078.93.

Top 1% bill above $3,316.98.

About This Procedure

HCPCS code 0402T was billed by 2 providers across 45 claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 42 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,020.93

Providers Billing

2

National Spending

$108K

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.