0942
HCPCS Procedure Code
HCPCS code 0942 is the #5,205 most-billed Medicaid procedure code, with $262K in payments across 11K claims from 2018–2024. The national median cost per claim is $29.55. Costs vary widely — the 90th percentile is $66.61 per claim, 2.3× the median.
Total Paid
$262K
0.00% of all spending
Total Claims
11K
Providers
9
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 0942? Based on 8 providers billing this code nationally.
Median
$29.55
Average
$38.11
Std Dev
$24.54
Max
$67.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $17.81 and $66.14 per claim for this code.
90% bill between $15.17 and $66.61.
Top 1% bill above $67.16.
About This Procedure
HCPCS code 0942 was billed by 9 providers across 11K claims, totaling $262K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$29.55
Providers Billing
8
National Spending
$262K
Avg/Median Ratio
1.29×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0942
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1023000569 | $164K |
| 2 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $28K |
| 3 | 1063441293 | $23K |
| 4 | 1972503142 | $22K |
| 5 | 1043354111 | $16K |
| 6 | 1144237272 | $4K |
| 7 | 1902803315 | $2K |
| 8 | 1669738159 | $2K |
| 9 | 1811080526 | $0 |
Showing top 9 of 9 providers billing this code