0742T
HCPCS Procedure Code
HCPCS code 0742T is the #6,505 most-billed Medicaid procedure code, with $60K in payments across 1,034 claims from 2018–2024. The national median cost per claim is $42.75. Costs vary widely — the 90th percentile is $172.63 per claim, 4.0× the median.
Total Paid
$60K
0.00% of all spending
Total Claims
1,034
Providers
3
Avg Cost/Claim
$58
National Cost Distribution
How much do providers bill per claim for 0742T? Based on 3 providers billing this code nationally.
Median
$42.75
Average
$83.01
Std Dev
$107.75
Max
$205.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.97 and $123.92 per claim for this code.
90% bill between $9.50 and $172.63.
Top 1% bill above $201.85.
About This Procedure
HCPCS code 0742T was billed by 3 providers across 1,034 claims, totaling $60K in Medicaid payments from 2018–2024. This code was used for 1,029 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.75
Providers Billing
3
National Spending
$60K
Avg/Median Ratio
1.94×
Moderately skewed
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.