1158F
HCPCS Procedure Code
HCPCS code 1158F is the #6,073 most-billed Medicaid procedure code, with $98K in payments across 1.9M claims from 2018–2024. The national median cost per claim is $0.13. Costs vary widely — the 90th percentile is $2.61 per claim, 20.1× the median.
Total Paid
$98K
0.00% of all spending
Total Claims
1.9M
Providers
2K
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for 1158F? Based on 401 providers billing this code nationally.
Median
$0.13
Average
$1.15
Std Dev
$3.57
Max
$50.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.01 and $1.52 per claim for this code.
90% bill between $0.00 and $2.61.
Top 1% bill above $6.84.
About This Procedure
HCPCS code 1158F was billed by 2K providers across 1.9M claims, totaling $98K in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.13
Providers Billing
401
National Spending
$98K
Avg/Median Ratio
8.85×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 1158F
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679672562 | $21K |
| 2 | 1053679787 | $12K |
| 3 | 1245385095 | $9K |
| 4 | 1659312593 | $5K |
| 5 | 1477754539 | $4K |
| 6 | 1689901688 | $4K |
| 7 | 1407243223 | $4K |
| 8 | 1093253890 | $4K |
| 9 | 1932214657 | $2K |
| 10 | 1306147327 | $2K |
| 11 | 1881610582 | $2K |
| 12 | 1215991534 | $1K |
| 13 | 1639296965 | $1K |
| 14 | 1891813085 | $1K |
| 15 | 1134419914 | $950 |
| 16 | 1679510598 | $800 |
| 17 | 1821212580 | $750 |
| 18 | 1326090960 | $680 |
| 19 | 1174167993 | $583 |
| 20 | 1780832972 | $573 |
Showing top 20 of 2K providers billing this code