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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $289 |
| 2 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $223 |
| 3 | 1497748081 | $173 |
| 4 | Central Valley Specialty Hospital Inc Modesto, CA · General Acute Care Hospital | $48 |
| 5 | 1336328244 | $20 |
| 6 | 1760510937 | $0 |
| 7 | 1477502797 | $0 |
| 8 | 1194099127 | $0 |
| 9 | 1952777245 | $0 |
| 10 | 1396813465 | $0 |
| 11 | 1578529285 | $0 |
| 12 | 1932129731 | $0 |
| 13 | 1073665360 | $0 |
| 14 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $0 |
| 15 | 1689062838 | $0 |
| 16 | 1831144716 | $0 |
| 17 | 1023010113 | $0 |
| 18 | 1831476365 | $0 |
Showing top 18 of 18 providers billing this code