42800
HCPCS Procedure Code
HCPCS code 42800 is the #7,564 most-billed Medicaid procedure code, with $15K in payments across 146 claims from 2018–2024. The national median cost per claim is $99.59.
Total Paid
$15K
0.00% of all spending
Total Claims
146
Providers
1
Avg Cost/Claim
$100
National Cost Distribution
How much do providers bill per claim for 42800? Based on 1 providers billing this code nationally.
Median
$99.59
Average
$99.59
Std Dev
—
Max
$99.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $99.59 and $99.59 per claim for this code.
90% bill between $99.59 and $99.59.
Top 1% bill above $99.59.
About This Procedure
HCPCS code 42800 was billed by 1 providers across 146 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 137 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$99.59
Providers Billing
1
National Spending
$15K
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.