0949
HCPCS Procedure Code
HCPCS code 0949 is the #2,497 most-billed Medicaid procedure code, with $5.3M in payments across 169K claims from 2018–2024. The national median cost per claim is $31.42. Costs vary widely — the 90th percentile is $104.25 per claim, 3.3× the median.
Total Paid
$5.3M
0.00% of all spending
Total Claims
169K
Providers
49
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 0949? Based on 36 providers billing this code nationally.
Median
$31.42
Average
$43.73
Std Dev
$46.05
Max
$212.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.40 and $50.28 per claim for this code.
90% bill between $1.64 and $104.25.
Top 1% bill above $187.17.
About This Procedure
HCPCS code 0949 was billed by 49 providers across 169K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 135K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$31.42
Providers Billing
36
National Spending
$5.3M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0949
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902803315 | $949K |
| 2 | 1477596583 | $900K |
| 3 | 1962442012 | $661K |
| 4 | 1194840421 | $558K |
| 5 | 1407813660 | $538K |
| 6 | 1659361392 | $412K |
| 7 | 1114081056 | $375K |
| 8 | 1477610640 | $337K |
| 9 | Dignity Health San Bernardino, CA · General Acute Care Hospital | $227K |
| 10 | 1972541498 | $102K |
| 11 | 1083732853 | $49K |
| 12 | 1427055839 | $26K |
| 13 | 1467560599 | $25K |
| 14 | 1972503142 | $25K |
| 15 | 1407828429 | $21K |
| 16 | 1639172372 | $21K |
| 17 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $19K |
| 18 | Community Hospital Of San Bernardino San Bernardino, CA · General Acute Care Hospital | $18K |
| 19 | 1750503017 | $12K |
| 20 | 1528263746 | $11K |
Showing top 20 of 49 providers billing this code