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#5347 of 11K

0583

HCPCS Procedure Code

HCPCS code 0583 is the #5,347 most-billed Medicaid procedure code, with $223K in payments across 4K claims from 2018–2024. The national median cost per claim is $54.29.

Total Paid

$223K

0.00% of all spending

Total Claims

4K

Providers

4

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for 0583? Based on 4 providers billing this code nationally.

Median

$54.29

Average

$62.70

Std Dev

$34.73

Max

$111.85

Percentile Distribution (Cost per Claim)

p10
$36.69
p25
$46.17
Median
$54.29
p75
$70.81
p90
$95.44
p95
$103.64
p99
$110.21

50% of providers bill between $46.17 and $70.81 per claim for this code.

90% bill between $36.69 and $95.44.

Top 1% bill above $110.21.

About This Procedure

HCPCS code 0583 was billed by 4 providers across 4K claims, totaling $223K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.29

Providers Billing

4

National Spending

$223K

Avg/Median Ratio

1.15×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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