0489
HCPCS Procedure Code
HCPCS code 0489 is the #5,734 most-billed Medicaid procedure code, with $147K in payments across 4,763 claims from 2018–2024. The national median cost per claim is $179.04. Costs vary widely — the 90th percentile is $1,297.55 per claim, 7.2× the median.
Total Paid
$147K
0.00% of all spending
Total Claims
4,763
Providers
26
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 0489? Based on 6 providers billing this code nationally.
Median
$179.04
Average
$493.95
Std Dev
$758.26
Max
$1,969.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $42.63 and $523.63 per claim for this code.
90% bill between $5.25 and $1,297.55.
Top 1% bill above $1,902.64.
About This Procedure
HCPCS code 0489 was billed by 26 providers across 4,763 claims, totaling $147K in Medicaid payments from 2018–2024. This code was used for 4,637 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$179.04
Providers Billing
6
National Spending
$147K
Avg/Median Ratio
2.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0489
| # | Provider | Total Paid |
|---|---|---|
| 1 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $94K |
| 2 | Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital | $28K |
| 3 | 1639101116 | $14K |
| 4 | Palomar Health Escondido, CA · General Acute Care Hospital | $10K |
| 5 | 1104906569 | $406 |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $33 |
| 7 | 1194840421 | $0 |
| 8 | 1417089350 | $0 |
| 9 | 1750384079 | $0 |
| 10 | 1811129752 | $0 |
| 11 | 1487697215 | $0 |
| 12 | 1912108002 | $0 |
| 13 | 1114547114 | $0 |
| 14 | 1518940667 | $0 |
| 15 | 1720128556 | $0 |
| 16 | 1114081056 | $0 |
| 17 | 1750503017 | $0 |
| 18 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
| 19 | 1477610640 | $0 |
| 20 | 1558575746 | $0 |
Showing top 20 of 26 providers billing this code