0509T
HCPCS Procedure Code
HCPCS code 0509T is the #5,336 most-billed Medicaid procedure code, with $226K in payments across 10K claims from 2018–2024. The national median cost per claim is $11.28. Costs vary widely — the 90th percentile is $46.73 per claim, 4.1× the median.
Total Paid
$226K
0.00% of all spending
Total Claims
10K
Providers
46
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 0509T? Based on 36 providers billing this code nationally.
Median
$11.28
Average
$20.31
Std Dev
$19.58
Max
$56.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.62 and $40.16 per claim for this code.
90% bill between $0.67 and $46.73.
Top 1% bill above $54.53.
About This Procedure
HCPCS code 0509T was billed by 46 providers across 10K claims, totaling $226K in Medicaid payments from 2018–2024. This code was used for 8,794 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.28
Providers Billing
36
National Spending
$226K
Avg/Median Ratio
1.80×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0509T
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1356860811 | $86K |
| 2 | 1174500714 | $48K |
| 3 | 1033388731 | $19K |
| 4 | 1780955575 | $13K |
| 5 | 1962513721 | $12K |
| 6 | 1528152774 | $12K |
| 7 | 1104871037 | $9K |
| 8 | 1538137401 | $7K |
| 9 | 1477734838 | $4K |
| 10 | 1407993975 | $3K |
| 11 | 1255386116 | $3K |
| 12 | 1598937328 | $2K |
| 13 | 1407025968 | $1K |
| 14 | 1285644500 | $1K |
| 15 | 1447232913 | $1K |
| 16 | 1821262155 | $930 |
| 17 | 1801936679 | $801 |
| 18 | 1790732519 | $720 |
| 19 | 1033211925 | $534 |
| 20 | 1558303354 | $424 |
Showing top 20 of 46 providers billing this code