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#8929 of 11K

0434

HCPCS Procedure Code

HCPCS code 0434 is the #8,929 most-billed Medicaid procedure code, with $752 in payments across 3K claims from 2018–2024. The national median cost per claim is $0.12. Costs vary widely — the 90th percentile is $13.69 per claim, 114.1× the median.

Total Paid

$752

0.00% of all spending

Total Claims

3K

Providers

18

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 0434? Based on 5 providers billing this code nationally.

Median

$0.12

Average

$5.30

Std Dev

$7.42

Max

$15.95

Percentile Distribution (Cost per Claim)

p10
$0.07
p25
$0.08
Median
$0.12
p75
$10.31
p90
$13.69
p95
$14.82
p99
$15.72

50% of providers bill between $0.08 and $10.31 per claim for this code.

90% bill between $0.07 and $13.69.

Top 1% bill above $15.72.

About This Procedure

HCPCS code 0434 was billed by 18 providers across 3K claims, totaling $752 in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.12

Providers Billing

5

National Spending

$752

Avg/Median Ratio

44.17×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0434

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$289
2Kaiser Foundation Health Plan Inc

Oakland, CA · Health Maintenance Organization

$223
31497748081$173
4Central Valley Specialty Hospital Inc

Modesto, CA · General Acute Care Hospital

$48
51336328244$20
61760510937$0
71477502797$0
81194099127$0
91952777245$0
101396813465$0
111578529285$0
121932129731$0
131073665360$0
14County Of Ventura

Ventura, CA · Clinic/Center, Emergency Care

$0
151689062838$0
161831144716$0
171023010113$0
181831476365$0

Showing top 18 of 18 providers billing this code