CP005
HCPCS Procedure Code
HCPCS code CP005 is the #7,415 most-billed Medicaid procedure code, with $18K in payments across 999 claims from 2018–2024. The national median cost per claim is $17.79. Costs vary widely — the 90th percentile is $39.36 per claim, 2.2× the median.
Total Paid
$18K
0.00% of all spending
Total Claims
999
Providers
8
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for CP005? Based on 8 providers billing this code nationally.
Median
$17.79
Average
$24.74
Std Dev
$11.91
Max
$49.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.88 and $29.57 per claim for this code.
90% bill between $16.82 and $39.36.
Top 1% bill above $48.04.
About This Procedure
HCPCS code CP005 was billed by 8 providers across 999 claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 835 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.79
Providers Billing
8
National Spending
$18K
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for CP005
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639678030 | $7K |
| 2 | 1497254858 | $3K |
| 3 | 1861991226 | $2K |
| 4 | 1770082299 | $2K |
| 5 | 1952800310 | $1K |
| 6 | 1306345764 | $1K |
| 7 | 1629023460 | $980 |
| 8 | 1205335726 | $388 |
Showing top 8 of 8 providers billing this code