Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5128 of 11K

0623

HCPCS Procedure Code

HCPCS code 0623 is the #5,128 most-billed Medicaid procedure code, with $282K in payments across 14K claims from 2018–2024. The national median cost per claim is $2.36. Costs vary widely — the 90th percentile is $16.99 per claim, 7.2× the median.

Total Paid

$282K

0.00% of all spending

Total Claims

14K

Providers

10

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 0623? Based on 4 providers billing this code nationally.

Median

$2.36

Average

$6.95

Std Dev

$10.76

Max

$22.99

Percentile Distribution (Cost per Claim)

p10
$0.59
p25
$1.33
Median
$2.36
p75
$7.98
p90
$16.99
p95
$19.99
p99
$22.39

50% of providers bill between $1.33 and $7.98 per claim for this code.

90% bill between $0.59 and $16.99.

Top 1% bill above $22.39.

About This Procedure

HCPCS code 0623 was billed by 10 providers across 14K claims, totaling $282K in Medicaid payments from 2018–2024. This code was used for 5K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.36

Providers Billing

4

National Spending

$282K

Avg/Median Ratio

2.94×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0623

#ProviderTotal Paid
11225038136$281K
21922091107$715
31154652436$286
41437161452$18
51063726628$0
6University Of California Irvine

Orange, CA · General Acute Care Hospital

$0
71730162579$0
81174954689$0
91649275868$0
101447404595$0

Showing top 10 of 10 providers billing this code