0969
HCPCS Procedure Code
HCPCS code 0969 is the #5,557 most-billed Medicaid procedure code, with $176K in payments across 2,532 claims from 2018–2024. The national median cost per claim is $73.78.
Total Paid
$176K
0.00% of all spending
Total Claims
2,532
Providers
14
Avg Cost/Claim
$70
National Cost Distribution
How much do providers bill per claim for 0969? Based on 14 providers billing this code nationally.
Median
$73.78
Average
$72.61
Std Dev
$8.14
Max
$85.47
Percentile Distribution (Cost per Claim)
50% of providers bill between $69.82 and $76.32 per claim for this code.
90% bill between $62.42 and $81.43.
Top 1% bill above $85.10.
About This Procedure
HCPCS code 0969 was billed by 14 providers across 2,532 claims, totaling $176K in Medicaid payments from 2018–2024. This code was used for 1,498 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.78
Providers Billing
14
National Spending
$176K
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 0969
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1952542896 | $46K |
| 2 | 1669738159 | $26K |
| 3 | 1386886117 | $25K |
| 4 | 1538300488 | $17K |
| 5 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $14K |
| 6 | 1316188253 | $11K |
| 7 | 1841431707 | $8K |
| 8 | 1932340890 | $7K |
| 9 | 1174764021 | $7K |
| 10 | 1134360076 | $6K |
| 11 | 1982846366 | $3K |
| 12 | 1548401409 | $2K |
| 13 | 1780821660 | $1K |
| 14 | 1861633703 | $1K |
Showing top 14 of 14 providers billing this code