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#9147 of 11K

0641T

HCPCS Procedure Code

HCPCS code 0641T is the #9,147 most-billed Medicaid procedure code, with $297 in payments across 219 claims from 2018–2024. The national median cost per claim is $1.26. Costs vary widely — the 90th percentile is $4.76 per claim, 3.8× the median.

Total Paid

$297

0.00% of all spending

Total Claims

219

Providers

3

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for 0641T? Based on 3 providers billing this code nationally.

Median

$1.26

Average

$2.62

Std Dev

$2.62

Max

$5.63

Percentile Distribution (Cost per Claim)

p10
$1.02
p25
$1.11
Median
$1.26
p75
$3.45
p90
$4.76
p95
$5.20
p99
$5.55

50% of providers bill between $1.11 and $3.45 per claim for this code.

90% bill between $1.02 and $4.76.

Top 1% bill above $5.55.

About This Procedure

HCPCS code 0641T was billed by 3 providers across 219 claims, totaling $297 in Medicaid payments from 2018–2024. This code was used for 166 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.26

Providers Billing

3

National Spending

$297

Avg/Median Ratio

2.08×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.