0921
HCPCS Procedure Code
HCPCS code 0921 is the #8,091 most-billed Medicaid procedure code, with $6K in payments across 3K claims from 2018–2024. The national median cost per claim is $21.81. Costs vary widely — the 90th percentile is $54.74 per claim, 2.5× the median.
Total Paid
$6K
0.00% of all spending
Total Claims
3K
Providers
15
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for 0921? Based on 3 providers billing this code nationally.
Median
$21.81
Average
$28.40
Std Dev
$31.80
Max
$62.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.11 and $42.39 per claim for this code.
90% bill between $4.68 and $54.74.
Top 1% bill above $62.15.
About This Procedure
HCPCS code 0921 was billed by 15 providers across 3K claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$21.81
Providers Billing
3
National Spending
$6K
Avg/Median Ratio
1.30×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0921
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1477554152 | $5K |
| 2 | Kaiser Foundation Health Plan Inc Oakland, CA · Health Maintenance Organization | $1K |
| 3 | 1336328244 | $160 |
| 4 | 1922033547 | $0 |
| 5 | 1821002007 | $0 |
| 6 | 1578529285 | $0 |
| 7 | 1518951300 | $0 |
| 8 | 1477502797 | $0 |
| 9 | 1750365375 | $0 |
| 10 | University Of California Irvine Orange, CA · General Acute Care Hospital | $0 |
| 11 | Kaiser Foundation Hospitals Anaheim, CA · General Acute Care Hospital | $0 |
| 12 | 1194926279 | $0 |
| 13 | Desert Valley Hospital Llc Victorville, CA · General Acute Care Hospital | $0 |
| 14 | 1750384079 | $0 |
| 15 | 1477587632 | $0 |
Showing top 15 of 15 providers billing this code