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#2497 of 11K

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)

p10
$1.64
p25
$11.40
Median
$31.42
p75
$50.28
p90
$104.25
p95
$129.23
p99
$187.17

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

#ProviderTotal Paid
11902803315$949K
21477596583$900K
31962442012$661K
41194840421$558K
51407813660$538K
61659361392$412K
71114081056$375K
81477610640$337K
9Dignity Health

San Bernardino, CA · General Acute Care Hospital

$227K
101972541498$102K
111083732853$49K
121427055839$26K
131467560599$25K
141972503142$25K
151407828429$21K
161639172372$21K
17County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$19K
18Community Hospital Of San Bernardino

San Bernardino, CA · General Acute Care Hospital

$18K
191750503017$12K
201528263746$11K

Showing top 20 of 49 providers billing this code