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#2743 of 11K

K0002

HCPCS Procedure Code

HCPCS code K0002 is the #2,743 most-billed Medicaid procedure code, with $3.9M in payments across 223K claims from 2018–2024. The national median cost per claim is $16.01. Costs vary widely — the 90th percentile is $44.01 per claim, 2.7× the median.

Total Paid

$3.9M

0.00% of all spending

Total Claims

223K

Providers

195

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for K0002? Based on 191 providers billing this code nationally.

Median

$16.01

Average

$21.57

Std Dev

$18.96

Max

$140.40

Percentile Distribution (Cost per Claim)

p10
$6.39
p25
$9.86
Median
$16.01
p75
$27.45
p90
$44.01
p95
$58.16
p99
$84.16

50% of providers bill between $9.86 and $27.45 per claim for this code.

90% bill between $6.39 and $44.01.

Top 1% bill above $84.16.

About This Procedure

HCPCS code K0002 was billed by 195 providers across 223K claims, totaling $3.9M in Medicaid payments from 2018–2024. This code was used for 194K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.01

Providers Billing

191

National Spending

$3.9M

Avg/Median Ratio

1.35×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0002

#ProviderTotal Paid
11326077249$683K
21851328157$223K
31417986357$179K
41366646218$134K
51578609327$133K
61659365849$123K
71144371204$120K
81023017647$118K
91568464295$103K
10Apria Healthcare Llc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$91K
111588603492$70K
12Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$66K
131205887833$65K
141679708762$65K
151184653024$63K
161447567334$63K
171093720633$60K
181730182023$56K
191740251628$55K
201457314130$54K

Showing top 20 of 195 providers billing this code