Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7635 of 11K

0500T

HCPCS Procedure Code

HCPCS code 0500T is the #7,635 most-billed Medicaid procedure code, with $13K in payments across 3,572 claims from 2018–2024. The national median cost per claim is $5.43.

Total Paid

$13K

0.00% of all spending

Total Claims

3,572

Providers

4

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 0500T? Based on 2 providers billing this code nationally.

Median

$5.43

Average

$5.43

Std Dev

$2.25

Max

$7.02

Percentile Distribution (Cost per Claim)

p10
$4.16
p25
$4.63
Median
$5.43
p75
$6.22
p90
$6.70
p95
$6.86
p99
$6.98

50% of providers bill between $4.63 and $6.22 per claim for this code.

90% bill between $4.16 and $6.70.

Top 1% bill above $6.98.

About This Procedure

HCPCS code 0500T was billed by 4 providers across 3,572 claims, totaling $13K in Medicaid payments from 2018–2024. This code was used for 2,556 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.43

Providers Billing

2

National Spending

$13K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.