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#1225 of 11K

H0022

HCPCS Procedure Code

HCPCS code H0022 is the #1,225 most-billed Medicaid procedure code, with $32.6M in payments across 942K claims from 2018–2024. The national median cost per claim is $32.48. Costs vary widely — the 90th percentile is $67.45 per claim, 2.1× the median.

Total Paid

$32.6M

0.00% of all spending

Total Claims

942K

Providers

208

Avg Cost/Claim

$35

National Cost Distribution

How much do providers bill per claim for H0022? Based on 199 providers billing this code nationally.

Median

$32.48

Average

$41.17

Std Dev

$43.54

Max

$450.00

Percentile Distribution (Cost per Claim)

p10
$10.77
p25
$19.19
Median
$32.48
p75
$52.06
p90
$67.45
p95
$93.98
p99
$170.24

50% of providers bill between $19.19 and $52.06 per claim for this code.

90% bill between $10.77 and $67.45.

Top 1% bill above $170.24.

About This Procedure

HCPCS code H0022 was billed by 208 providers across 942K claims, totaling $32.6M in Medicaid payments from 2018–2024. This code was used for 474K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.48

Providers Billing

199

National Spending

$32.6M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H0022

#ProviderTotal Paid
11629282470$7.2M
21982962353$5.4M
31881131761$1.4M
41487811204$1.4M
51003150004$1.2M
61700050085$921K
71144684697$835K
81194992404$766K
91831190701$739K
101801947965$711K
111780158261$704K
121174798524$634K
131962575266$485K
141740651330$484K
151790837128$484K
161285859041$423K
171144412305$411K
181780850594$393K
191346620952$357K
201265922660$353K

Showing top 20 of 208 providers billing this code