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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700803285 | $675K |
| 2 | 1811914674 | $597K |
| 3 | 1811926058 | $447K |
| 4 | 1578529285 | $397K |
| 5 | 1427176569 | $21K |
| 6 | 1477610640 | $4K |
| 7 | 1477596583 | $831 |
| 8 | 1720371065 | $0 |
Showing top 8 of 8 providers billing this code