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#5169 of 11K

0482T

HCPCS Procedure Code

HCPCS code 0482T is the #5,169 most-billed Medicaid procedure code, with $271K in payments across 2,245 claims from 2018–2024. The national median cost per claim is $69.36. Costs vary widely — the 90th percentile is $313.52 per claim, 4.5× the median.

Total Paid

$271K

0.00% of all spending

Total Claims

2,245

Providers

12

Avg Cost/Claim

$120

National Cost Distribution

How much do providers bill per claim for 0482T? Based on 9 providers billing this code nationally.

Median

$69.36

Average

$139.67

Std Dev

$154.37

Max

$431.24

Percentile Distribution (Cost per Claim)

p10
$4.01
p25
$15.21
Median
$69.36
p75
$269.27
p90
$313.52
p95
$372.38
p99
$419.47

50% of providers bill between $15.21 and $269.27 per claim for this code.

90% bill between $4.01 and $313.52.

Top 1% bill above $419.47.

About This Procedure

HCPCS code 0482T was billed by 12 providers across 2,245 claims, totaling $271K in Medicaid payments from 2018–2024. This code was used for 1,977 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$69.36

Providers Billing

9

National Spending

$271K

Avg/Median Ratio

2.01×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0482T

#ProviderTotal Paid
11043220650$222K
21366452880$25K
31194749580$11K
41982833398$5K
5Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$3K
61114025491$2K
71649220484$2K
81043279565$230
91801840434$55
10Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$0
11Yale University

New Haven, CT · Internal Medicine

$0
121568647501$0

Showing top 12 of 12 providers billing this code