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#686 of 11K

H0041

HCPCS Procedure Code

HCPCS code H0041 is the #686 most-billed Medicaid procedure code, with $105.8M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $192.56. Costs vary widely — the 90th percentile is $712.65 per claim, 3.7× the median.

Total Paid

$105.8M

0.01% of all spending

Total Claims

2.2M

Providers

55

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for H0041? Based on 54 providers billing this code nationally.

Median

$192.56

Average

$345.53

Std Dev

$552.08

Max

$2,704.07

Percentile Distribution (Cost per Claim)

p10
$14.21
p25
$15.76
Median
$192.56
p75
$378.38
p90
$712.65
p95
$1,484.90
p99
$2,580.38

50% of providers bill between $15.76 and $378.38 per claim for this code.

90% bill between $14.21 and $712.65.

Top 1% bill above $2,580.38.

About This Procedure

HCPCS code H0041 was billed by 55 providers across 2.2M claims, totaling $105.8M in Medicaid payments from 2018–2024. This code was used for 245K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$192.56

Providers Billing

54

National Spending

$105.8M

Avg/Median Ratio

1.79×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for H0041

#ProviderTotal Paid
11598930869$5.8M
21447607817$5.6M
31245351170$5.6M
41891837944$5.6M
5Sco Family Of Services

Garden City, NY · Foster Care Agency

$5.5M
61891989786$5.3M
7The Children's Aid Society

Brooklyn, NY · Foster Care Agency

$5.3M
8Catholic Guardian Society And Home Bureau

New York, NY · Case Management

$4.7M
91699890673$4.6M
101184898934$4.5M
111790803831$4.5M
121881814416$4.3M
131518137033$4.3M
141336614478$4.0M
151295811925$3.1M
161477672988$2.8M
171609915206$2.8M
181326268681$2.8M
191275724551$2.5M
201841335197$2.2M

Showing top 20 of 55 providers billing this code