0513
HCPCS Procedure Code
HCPCS code 0513 is the #5,092 most-billed Medicaid procedure code, with $294K in payments across 3,822 claims from 2018–2024. The national median cost per claim is $52.79.
Total Paid
$294K
0.00% of all spending
Total Claims
3,822
Providers
2
Avg Cost/Claim
$77
National Cost Distribution
How much do providers bill per claim for 0513? Based on 2 providers billing this code nationally.
Median
$52.79
Average
$52.79
Std Dev
$35.91
Max
$78.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $40.09 and $65.48 per claim for this code.
90% bill between $32.47 and $73.10.
Top 1% bill above $77.67.
About This Procedure
HCPCS code 0513 was billed by 2 providers across 3,822 claims, totaling $294K in Medicaid payments from 2018–2024. This code was used for 3,573 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.79
Providers Billing
2
National Spending
$294K
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.