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#5336 of 11K

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)

p10
$0.67
p25
$1.62
Median
$11.28
p75
$40.16
p90
$46.73
p95
$50.40
p99
$54.53

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

#ProviderTotal Paid
11356860811$86K
21174500714$48K
31033388731$19K
41780955575$13K
51962513721$12K
61528152774$12K
71104871037$9K
81538137401$7K
91477734838$4K
101407993975$3K
111255386116$3K
121598937328$2K
131407025968$1K
141285644500$1K
151447232913$1K
161821262155$930
171801936679$801
181790732519$720
191033211925$534
201558303354$424

Showing top 20 of 46 providers billing this code