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#4929 of 11K

28001

HCPCS Procedure Code

HCPCS code 28001 is the #4,929 most-billed Medicaid procedure code, with $350K in payments across 2,778 claims from 2018–2024. The national median cost per claim is $90.17.

Total Paid

$350K

0.00% of all spending

Total Claims

2,778

Providers

2

Avg Cost/Claim

$126

National Cost Distribution

How much do providers bill per claim for 28001? Based on 2 providers billing this code nationally.

Median

$90.17

Average

$90.17

Std Dev

$57.89

Max

$131.10

Percentile Distribution (Cost per Claim)

p10
$57.42
p25
$69.70
Median
$90.17
p75
$110.64
p90
$122.92
p95
$127.01
p99
$130.29

50% of providers bill between $69.70 and $110.64 per claim for this code.

90% bill between $57.42 and $122.92.

Top 1% bill above $130.29.

About This Procedure

HCPCS code 28001 was billed by 2 providers across 2,778 claims, totaling $350K in Medicaid payments from 2018–2024. This code was used for 2,533 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$90.17

Providers Billing

2

National Spending

$350K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.