0480
HCPCS Procedure Code
HCPCS code 0480 is the #6,706 most-billed Medicaid procedure code, with $47K in payments across 1,276 claims from 2018–2024. The national median cost per claim is $62.79. Costs vary widely — the 90th percentile is $132.97 per claim, 2.1× the median.
Total Paid
$47K
0.00% of all spending
Total Claims
1,276
Providers
10
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 0480? Based on 4 providers billing this code nationally.
Median
$62.79
Average
$73.39
Std Dev
$61.64
Max
$156.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.17 and $98.01 per claim for this code.
90% bill between $22.29 and $132.97.
Top 1% bill above $153.95.
About This Procedure
HCPCS code 0480 was billed by 10 providers across 1,276 claims, totaling $47K in Medicaid payments from 2018–2024. This code was used for 1,019 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.79
Providers Billing
4
National Spending
$47K
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0480
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1477554152 | $33K |
| 2 | 1639101116 | $8K |
| 3 | University Of California Irvine Orange, CA · General Acute Care Hospital | $6K |
| 4 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $456 |
| 5 | 1477587632 | $0 |
| 6 | 1518951300 | $0 |
| 7 | 1073519443 | $0 |
| 8 | 1821002007 | $0 |
| 9 | 1922033547 | $0 |
| 10 | 1750365375 | $0 |
Showing top 10 of 10 providers billing this code