0658
Revenue code, pharmacy, generic drugs
Revenue code, pharmacy, generic drugs is the #500 most-billed Medicaid procedure code, with $182.0M in payments across 220K claims from 2018–2024. The national median cost per claim is $4,158.95.
Total Paid
$182.0M
0.02% of all spending
Total Claims
220K
Providers
105
Avg Cost/Claim
$828
National Cost Distribution
How much do providers bill per claim for 0658? Based on 102 providers billing this code nationally.
Median
$4,158.95
Average
$3,726.09
Std Dev
$2,511.78
Max
$9,322.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $849.80 and $5,292.85 per claim for this code.
90% bill between $203.59 and $6,876.33.
Top 1% bill above $9,232.07.
About This Procedure
HCPCS code 0658 (Revenue code, pharmacy, generic drugs) was billed by 105 providers across 220K claims, totaling $182.0M in Medicaid payments from 2018–2024. This code was used for 38K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4,158.95
Providers Billing
102
National Spending
$182.0M
Avg/Median Ratio
0.90×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0658
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1255381547 | $16.2M |
| 2 | 1245521269 | $10.3M |
| 3 | 1194869750 | $7.7M |
| 4 | 1689716797 | $6.9M |
| 5 | 1790770188 | $6.9M |
| 6 | Vitas Healthcare Corporation Of California Sacramento, CA · Hospice Care Community Based | $6.2M |
| 7 | 1982635140 | $5.8M |
| 8 | 1679180673 | $5.7M |
| 9 | 1174065809 | $5.6M |
| 10 | 1609048883 | $5.5M |
| 11 | 1801939939 | $4.9M |
| 12 | 1790828804 | $4.9M |
| 13 | 1053698134 | $4.4M |
| 14 | 1386840973 | $4.2M |
| 15 | 1467859900 | $4.1M |
| 16 | 1750333977 | $4.1M |
| 17 | 1619015393 | $3.7M |
| 18 | 1023011178 | $3.6M |
| 19 | 1124053558 | $3.6M |
| 20 | 1255862389 | $3.4M |
Showing top 20 of 105 providers billing this code