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#3248 of 11K

0514

HCPCS Procedure Code

HCPCS code 0514 is the #3,248 most-billed Medicaid procedure code, with $2.1M in payments across 15K claims from 2018–2024. The national median cost per claim is $63.20. Costs vary widely — the 90th percentile is $281.21 per claim, 4.4× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

15K

Providers

8

Avg Cost/Claim

$145

National Cost Distribution

How much do providers bill per claim for 0514? Based on 7 providers billing this code nationally.

Median

$63.20

Average

$132.25

Std Dev

$137.10

Max

$285.15

Percentile Distribution (Cost per Claim)

p10
$3.78
p25
$13.66
Median
$63.20
p75
$273.19
p90
$281.21
p95
$283.18
p99
$284.75

50% of providers bill between $13.66 and $273.19 per claim for this code.

90% bill between $3.78 and $281.21.

Top 1% bill above $284.75.

About This Procedure

HCPCS code 0514 was billed by 8 providers across 15K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$63.20

Providers Billing

7

National Spending

$2.1M

Avg/Median Ratio

2.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0514

#ProviderTotal Paid
11700803285$675K
21811914674$597K
31811926058$447K
41578529285$397K
51427176569$21K
61477610640$4K
71477596583$831
81720371065$0

Showing top 8 of 8 providers billing this code