0456
HCPCS Procedure Code
HCPCS code 0456 is the #1,590 most-billed Medicaid procedure code, with $18.4M in payments across 327K claims from 2018–2024. The national median cost per claim is $31.57.
Total Paid
$18.4M
0.00% of all spending
Total Claims
327K
Providers
13
Avg Cost/Claim
$56
National Cost Distribution
How much do providers bill per claim for 0456? Based on 10 providers billing this code nationally.
Median
$31.57
Average
$35.11
Std Dev
$32.86
Max
$119.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.19 and $36.38 per claim for this code.
90% bill between $5.68 and $52.83.
Top 1% bill above $112.80.
About This Procedure
HCPCS code 0456 was billed by 13 providers across 327K claims, totaling $18.4M in Medicaid payments from 2018–2024. This code was used for 303K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.57
Providers Billing
10
National Spending
$18.4M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0456
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dignity Health San Bernardino, CA · General Acute Care Hospital | $17.1M |
| 2 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $586K |
| 3 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $271K |
| 4 | 1710065933 | $236K |
| 5 | 1780183335 | $82K |
| 6 | 1144389941 | $37K |
| 7 | 1316938301 | $11K |
| 8 | 1427293216 | $6K |
| 9 | 1134152549 | $1K |
| 10 | 1669617197 | $24 |
| 11 | 1386654077 | $0 |
| 12 | 1720271513 | $0 |
| 13 | 1801274774 | $0 |
Showing top 13 of 13 providers billing this code