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#7252 of 11K

1005F

HCPCS Procedure Code

HCPCS code 1005F is the #7,252 most-billed Medicaid procedure code, with $23K in payments across 55K claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $1.21 per claim, 40.3× the median.

Total Paid

$23K

0.00% of all spending

Total Claims

55K

Providers

95

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1005F? Based on 12 providers billing this code nationally.

Median

$0.03

Average

$5.34

Std Dev

$17.97

Max

$62.38

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$0.11
p90
$1.21
p95
$28.80
p99
$55.66

50% of providers bill between $0.00 and $0.11 per claim for this code.

90% bill between $0.00 and $1.21.

Top 1% bill above $55.66.

About This Procedure

HCPCS code 1005F was billed by 95 providers across 55K claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

12

National Spending

$23K

Avg/Median Ratio

178.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1005F

#ProviderTotal Paid
11700886322$23K
21104141837$325
31699962431$72
41437412798$71
51871689265$57
61811226749$19
71457354391$10
81710959457$0
91750334405$0
101699829192$0
111215093216$0
121710282215$0
131194053728$0
141932150877$0
151679749808$0
161720241169$0
171922532555$0
181518998731$0
191548539653$0
201114009107$0

Showing top 20 of 95 providers billing this code