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#8184 of 11K

0509F

HCPCS Procedure Code

HCPCS code 0509F is the #8,184 most-billed Medicaid procedure code, with $5K in payments across 41K claims from 2018–2024. The national median cost per claim is $0.24. Costs vary widely — the 90th percentile is $17.27 per claim, 72.0× the median.

Total Paid

$5K

0.00% of all spending

Total Claims

41K

Providers

152

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 0509F? Based on 8 providers billing this code nationally.

Median

$0.24

Average

$5.53

Std Dev

$10.11

Max

$28.16

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.12
Median
$0.24
p75
$5.28
p90
$17.27
p95
$22.71
p99
$27.07

50% of providers bill between $0.12 and $5.28 per claim for this code.

90% bill between $0.00 and $17.27.

Top 1% bill above $27.07.

About This Procedure

HCPCS code 0509F was billed by 152 providers across 41K claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.24

Providers Billing

8

National Spending

$5K

Avg/Median Ratio

23.04×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0509F

#ProviderTotal Paid
11508886805$3K
21871591818$1K
31932214657$196
41700027661$164
51730133398$125
61528074044$12
71821123381$0
81790344869$0
91508524083$0
101629009527$0
111740925627$0
121942697974$0
131124777511$0
141497759260$0
151922034842$0
161447439062$0
171861749707$0
181255828869$0
191689648545$0
201619912433$0

Showing top 20 of 152 providers billing this code