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#4493 of 11K

CP007

HCPCS Procedure Code

HCPCS code CP007 is the #4,493 most-billed Medicaid procedure code, with $552K in payments across 16K claims from 2018–2024. The national median cost per claim is $43.87.

Total Paid

$552K

0.00% of all spending

Total Claims

16K

Providers

40

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for CP007? Based on 40 providers billing this code nationally.

Median

$43.87

Average

$45.43

Std Dev

$27.72

Max

$187.24

Percentile Distribution (Cost per Claim)

p10
$23.54
p25
$33.26
Median
$43.87
p75
$46.77
p90
$62.29
p95
$71.67
p99
$154.14

50% of providers bill between $33.26 and $46.77 per claim for this code.

90% bill between $23.54 and $62.29.

Top 1% bill above $154.14.

About This Procedure

HCPCS code CP007 was billed by 40 providers across 16K claims, totaling $552K in Medicaid payments from 2018–2024. This code was used for 8,053 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$43.87

Providers Billing

40

National Spending

$552K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for CP007

#ProviderTotal Paid
11790782704$118K
21336172105$80K
31285798918$68K
41548232044$38K
5Bexar County Hospital District

San Antonio, TX · Clinical Medical Laboratory

$35K
61174533343$22K
71972517365$19K
81598750721$18K
91821619115$18K
101417980202$16K
111073580726$14K
121902915846$14K
131063436525$12K
141396779948$11K
151851343909$11K
161003883158$9K
171104845015$9K
18Uvalde County Hospital Authority

Uvalde, TX · General Acute Care Hospital Critical Access

$4K
191396778064$4K
201114998911$3K

Showing top 20 of 40 providers billing this code