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#8559 of 11K

0972

HCPCS Procedure Code

HCPCS code 0972 is the #8,559 most-billed Medicaid procedure code, with $2K in payments across 65 claims from 2018–2024. The national median cost per claim is $34.03.

Total Paid

$2K

0.00% of all spending

Total Claims

65

Providers

1

Avg Cost/Claim

$34

National Cost Distribution

How much do providers bill per claim for 0972? Based on 1 providers billing this code nationally.

Median

$34.03

Average

$34.03

Std Dev

Max

$34.03

Percentile Distribution (Cost per Claim)

p10
$34.03
p25
$34.03
Median
$34.03
p75
$34.03
p90
$34.03
p95
$34.03
p99
$34.03

50% of providers bill between $34.03 and $34.03 per claim for this code.

90% bill between $34.03 and $34.03.

Top 1% bill above $34.03.

About This Procedure

HCPCS code 0972 was billed by 1 providers across 65 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 64 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.03

Providers Billing

1

National Spending

$2K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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