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#7049 of 11K

CP004

HCPCS Procedure Code

HCPCS code CP004 is the #7,049 most-billed Medicaid procedure code, with $30K in payments across 3,309 claims from 2018–2024. The national median cost per claim is $9.07.

Total Paid

$30K

0.00% of all spending

Total Claims

3,309

Providers

11

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for CP004? Based on 11 providers billing this code nationally.

Median

$9.07

Average

$9.80

Std Dev

$3.19

Max

$18.78

Percentile Distribution (Cost per Claim)

p10
$8.40
p25
$8.95
Median
$9.07
p75
$9.73
p90
$9.80
p95
$14.29
p99
$17.89

50% of providers bill between $8.95 and $9.73 per claim for this code.

90% bill between $8.40 and $9.80.

Top 1% bill above $17.89.

About This Procedure

HCPCS code CP004 was billed by 11 providers across 3,309 claims, totaling $30K in Medicaid payments from 2018–2024. This code was used for 2,927 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.07

Providers Billing

11

National Spending

$30K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for CP004

#ProviderTotal Paid
11285861773$13K
21134102403$5K
31962401620$3K
41205026432$2K
51619343241$2K
61073009064$2K
71982607735$1K
81003813056$977
91548302326$462
101851368112$412
111457334039$118

Showing top 11 of 11 providers billing this code