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#2599 of 11K

0900

HCPCS Procedure Code

HCPCS code 0900 is the #2,599 most-billed Medicaid procedure code, with $4.7M in payments across 133K claims from 2018–2024. The national median cost per claim is $2.08. Costs vary widely — the 90th percentile is $168.83 per claim, 81.2× the median.

Total Paid

$4.7M

0.00% of all spending

Total Claims

133K

Providers

51

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for 0900? Based on 34 providers billing this code nationally.

Median

$2.08

Average

$58.44

Std Dev

$94.14

Max

$378.00

Percentile Distribution (Cost per Claim)

p10
$0.14
p25
$0.23
Median
$2.08
p75
$65.72
p90
$168.83
p95
$235.14
p99
$351.53

50% of providers bill between $0.23 and $65.72 per claim for this code.

90% bill between $0.14 and $168.83.

Top 1% bill above $351.53.

About This Procedure

HCPCS code 0900 was billed by 51 providers across 133K claims, totaling $4.7M in Medicaid payments from 2018–2024. This code was used for 81K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.08

Providers Billing

34

National Spending

$4.7M

Avg/Median Ratio

28.10×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 0900

#ProviderTotal Paid
11992779417$3.9M
21003985755$257K
3Chapa-de Indian Health Program Inc.

Auburn, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$108K
41629130240$69K
51922138841$63K
61366519431$61K
7Greenville Rancheria

Red Bluff, CA · Clinic/Center Community Health

$60K
81992012306$36K
91740222934$9K
101841913951$8K
111760510937$8K
121679997852$3K
131376560151$3K
141487741773$2K
151093019051$2K
161417480294$2K
171447277355$2K
181225054414$2K
191245623156$2K
201265458434$2K

Showing top 20 of 51 providers billing this code