82042
HCPCS Procedure Code
HCPCS code 82042 is the #4,468 most-billed Medicaid procedure code, with $570K in payments across 117K claims from 2018–2024. The national median cost per claim is $3.42.
Total Paid
$570K
0.00% of all spending
Total Claims
117K
Providers
176
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 82042? Based on 160 providers billing this code nationally.
Median
$3.42
Average
$3.89
Std Dev
$3.46
Max
$21.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.03 and $5.61 per claim for this code.
90% bill between $0.19 and $6.40.
Top 1% bill above $16.71.
About This Procedure
HCPCS code 82042 was billed by 176 providers across 117K claims, totaling $570K in Medicaid payments from 2018–2024. This code was used for 108K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.42
Providers Billing
160
National Spending
$570K
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 82042
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1245382753 | $246K |
| 2 | North Carolina Baptist Hospital Winston Salem, NC · General Acute Care Hospital | $35K |
| 3 | 1154655439 | $35K |
| 4 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $34K |
| 5 | Kaiser Foundation Health Plan Of The Northwest Portland, OR · General Practice | $32K |
| 6 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $19K |
| 7 | 1124194527 | $18K |
| 8 | Lawrence And Memorial Hospital, Inc. New London, CT · Internal Medicine | $14K |
| 9 | 1124182902 | $14K |
| 10 | 1073606901 | $10K |
| 11 | 1972528032 | $9K |
| 12 | 1962685933 | $8K |
| 13 | 1861580706 | $7K |
| 14 | 1083668669 | $6K |
| 15 | 1447230388 | $6K |
| 16 | 1376548271 | $5K |
| 17 | 1447233861 | $5K |
| 18 | 1467442749 | $4K |
| 19 | Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit | $3K |
| 20 | 1932264504 | $3K |
Showing top 20 of 176 providers billing this code