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#4000 of 11K

0501F

HCPCS Procedure Code

HCPCS code 0501F is the #4,000 most-billed Medicaid procedure code, with $941K in payments across 220K claims from 2018–2024. The national median cost per claim is $0.86. Costs vary widely — the 90th percentile is $4.36 per claim, 5.1× the median.

Total Paid

$941K

0.00% of all spending

Total Claims

220K

Providers

320

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 0501F? Based on 48 providers billing this code nationally.

Median

$0.86

Average

$9.51

Std Dev

$34.82

Max

$213.90

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.10
Median
$0.86
p75
$2.33
p90
$4.36
p95
$40.00
p99
$165.38

50% of providers bill between $0.10 and $2.33 per claim for this code.

90% bill between $0.00 and $4.36.

Top 1% bill above $165.38.

About This Procedure

HCPCS code 0501F was billed by 320 providers across 220K claims, totaling $941K in Medicaid payments from 2018–2024. This code was used for 165K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.86

Providers Billing

48

National Spending

$941K

Avg/Median Ratio

11.06×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0501F

#ProviderTotal Paid
1Premium Health Inc.

Brooklyn, NY · Clinic/Center Federally Qualified Health Center (FQHC)

$895K
21427098227$23K
31043353956$5K
41184694291$4K
51427248517$3K
61760465090$2K
71255464541$2K
81629206347$1K
91932289592$1K
101518303262$880
111487702726$484
121578620266$461
131568494953$308
141831226000$300
151740242957$264
161578813531$200
171700956596$180
181245511625$153
191013042480$150
201437425360$143

Showing top 20 of 320 providers billing this code