0500
HCPCS Procedure Code
HCPCS code 0500 is the #4,940 most-billed Medicaid procedure code, with $345K in payments across 172K claims from 2018–2024. The national median cost per claim is $21.15. Costs vary widely — the 90th percentile is $57.30 per claim, 2.7× the median.
Total Paid
$345K
0.00% of all spending
Total Claims
172K
Providers
16
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 0500? Based on 9 providers billing this code nationally.
Median
$21.15
Average
$27.99
Std Dev
$20.89
Max
$69.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.76 and $24.87 per claim for this code.
90% bill between $14.78 and $57.30.
Top 1% bill above $68.32.
About This Procedure
HCPCS code 0500 was billed by 16 providers across 172K claims, totaling $345K in Medicaid payments from 2018–2024. This code was used for 72K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.15
Providers Billing
9
National Spending
$345K
Avg/Median Ratio
1.32×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0500
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902998214 | $136K |
| 2 | 1306945191 | $127K |
| 3 | 1578662680 | $68K |
| 4 | 1174859425 | $11K |
| 5 | 1629595038 | $1K |
| 6 | 1841217866 | $1K |
| 7 | 1396778197 | $825 |
| 8 | 1740222934 | $479 |
| 9 | 1447277355 | $348 |
| 10 | 1134286727 | $0 |
| 11 | 1114084894 | $0 |
| 12 | 1326105909 | $0 |
| 13 | 1265599732 | $0 |
| 14 | 1760510937 | $0 |
| 15 | 1992779417 | $0 |
| 16 | 1205951738 | $0 |
Showing top 16 of 16 providers billing this code