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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1285861773 | $13K |
| 2 | 1134102403 | $5K |
| 3 | 1962401620 | $3K |
| 4 | 1205026432 | $2K |
| 5 | 1619343241 | $2K |
| 6 | 1073009064 | $2K |
| 7 | 1982607735 | $1K |
| 8 | 1003813056 | $977 |
| 9 | 1548302326 | $462 |
| 10 | 1851368112 | $412 |
| 11 | 1457334039 | $118 |
Showing top 11 of 11 providers billing this code