0721
HCPCS Procedure Code
HCPCS code 0721 is the #3,338 most-billed Medicaid procedure code, with $1.9M in payments across 31K claims from 2018–2024. The national median cost per claim is $52.35. Costs vary widely — the 90th percentile is $337.50 per claim, 6.4× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
31K
Providers
21
Avg Cost/Claim
$61
National Cost Distribution
How much do providers bill per claim for 0721? Based on 9 providers billing this code nationally.
Median
$52.35
Average
$188.58
Std Dev
$451.30
Max
$1,390.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $19.70 and $61.98 per claim for this code.
90% bill between $4.88 and $337.50.
Top 1% bill above $1,284.83.
About This Procedure
HCPCS code 0721 was billed by 21 providers across 31K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.35
Providers Billing
9
National Spending
$1.9M
Avg/Median Ratio
3.60×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 0721
| # | Provider | Total Paid |
|---|---|---|
| 1 | Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital | $546K |
| 2 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $475K |
| 3 | 1639523004 | $432K |
| 4 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $374K |
| 5 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $35K |
| 6 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $23K |
| 7 | 1194840421 | $5K |
| 8 | 1275578817 | $1K |
| 9 | 1922033547 | $790 |
| 10 | 1215927470 | $0 |
| 11 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $0 |
| 12 | 1235120676 | $0 |
| 13 | 1487697215 | $0 |
| 14 | 1831188275 | $0 |
| 15 | 1518940667 | $0 |
| 16 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $0 |
| 17 | 1689732885 | $0 |
| 18 | 1477502797 | $0 |
| 19 | 1811129752 | $0 |
| 20 | 1720128556 | $0 |
Showing top 20 of 21 providers billing this code