H0042
HCPCS Procedure Code
HCPCS code H0042 is the #3,201 most-billed Medicaid procedure code, with $2.2M in payments across 2,612 claims from 2018–2024. The national median cost per claim is $802.17.
Total Paid
$2.2M
0.00% of all spending
Total Claims
2,612
Providers
8
Avg Cost/Claim
$856
National Cost Distribution
How much do providers bill per claim for H0042? Based on 8 providers billing this code nationally.
Median
$802.17
Average
$873.12
Std Dev
$306.46
Max
$1,334.89
Percentile Distribution (Cost per Claim)
50% of providers bill between $623.07 and $1,055.41 per claim for this code.
90% bill between $582.04 and $1,306.71.
Top 1% bill above $1,332.07.
About This Procedure
HCPCS code H0042 was billed by 8 providers across 2,612 claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 2,546 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$802.17
Providers Billing
8
National Spending
$2.2M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for H0042
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578743878 | $705K |
| 2 | 1477727345 | $580K |
| 3 | 1427221837 | $503K |
| 4 | 1255460978 | $230K |
| 5 | 1548451826 | $93K |
| 6 | 1114095395 | $49K |
| 7 | 1144417346 | $43K |
| 8 | 1689944720 | $33K |
Showing top 8 of 8 providers billing this code