0657
HCPCS Procedure Code
HCPCS code 0657 is the #7,051 most-billed Medicaid procedure code, with $30K in payments across 686 claims from 2018–2024. The national median cost per claim is $42.25. Costs vary widely — the 90th percentile is $95.22 per claim, 2.3× the median.
Total Paid
$30K
0.00% of all spending
Total Claims
686
Providers
11
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 0657? Based on 10 providers billing this code nationally.
Median
$42.25
Average
$51.56
Std Dev
$27.33
Max
$97.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.67 and $66.64 per claim for this code.
90% bill between $25.37 and $95.22.
Top 1% bill above $97.01.
About This Procedure
HCPCS code 0657 was billed by 11 providers across 686 claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 410 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.25
Providers Billing
10
National Spending
$30K
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0657
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275677387 | $10K |
| 2 | 1295878304 | $7K |
| 3 | 1275064735 | $6K |
| 4 | 1790828804 | $3K |
| 5 | 1427037308 | $2K |
| 6 | 1184094229 | $673 |
| 7 | 1669892584 | $533 |
| 8 | 1154671808 | $523 |
| 9 | 1902239395 | $523 |
| 10 | 1669764726 | $388 |
| 11 | 1740620723 | $0 |
Showing top 11 of 11 providers billing this code