0481
HCPCS Procedure Code
HCPCS code 0481 is the #7,816 most-billed Medicaid procedure code, with $10K in payments across 3,393 claims from 2018–2024. The national median cost per claim is $11.53. Costs vary widely — the 90th percentile is $136.19 per claim, 11.8× the median.
Total Paid
$10K
0.00% of all spending
Total Claims
3,393
Providers
8
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 0481? Based on 3 providers billing this code nationally.
Median
$11.53
Average
$59.70
Std Dev
$93.41
Max
$167.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.87 and $89.45 per claim for this code.
90% bill between $2.48 and $136.19.
Top 1% bill above $164.24.
About This Procedure
HCPCS code 0481 was billed by 8 providers across 3,393 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 3,078 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.53
Providers Billing
3
National Spending
$10K
Avg/Median Ratio
5.18×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0481
| # | Provider | Total Paid |
|---|---|---|
| 1 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $7K |
| 2 | 1417901091 | $2K |
| 3 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $563 |
| 4 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
| 5 | 1821002007 | $0 |
| 6 | 1922033547 | $0 |
| 7 | 1790778488 | $0 |
| 8 | 1114547114 | $0 |
Showing top 8 of 8 providers billing this code