0681
HCPCS Procedure Code
HCPCS code 0681 is the #1,472 most-billed Medicaid procedure code, with $22.0M in payments across 3K claims from 2018–2024. The national median cost per claim is $626.33. Costs vary widely — the 90th percentile is $9,678.10 per claim, 15.5× the median.
Total Paid
$22.0M
0.00% of all spending
Total Claims
3K
Providers
9
Avg Cost/Claim
$7K
National Cost Distribution
How much do providers bill per claim for 0681? Based on 7 providers billing this code nationally.
Median
$626.33
Average
$3,415.79
Std Dev
$5,893.34
Max
$16,114.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $449.14 and $3,063.37 per claim for this code.
90% bill between $286.51 and $9,678.10.
Top 1% bill above $15,470.52.
About This Procedure
HCPCS code 0681 was billed by 9 providers across 3K claims, totaling $22.0M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$626.33
Providers Billing
7
National Spending
$22.0M
Avg/Median Ratio
5.45×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0681
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alameda Health System Oakland, CA · General Acute Care Hospital | $21.6M |
| 2 | 1083815872 | $205K |
| 3 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $146K |
| 4 | 1104856095 | $16K |
| 5 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $16K |
| 6 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $11K |
| 7 | 1659359446 | $6K |
| 8 | 1154368116 | $0 |
| 9 | 1104906569 | $0 |
Showing top 9 of 9 providers billing this code