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#3475 of 11K

K0009

HCPCS Procedure Code

HCPCS code K0009 is the #3,475 most-billed Medicaid procedure code, with $1.6M in payments across 310 claims from 2018–2024. The national median cost per claim is $5,151.25.

Total Paid

$1.6M

0.00% of all spending

Total Claims

310

Providers

3

Avg Cost/Claim

$5K

National Cost Distribution

How much do providers bill per claim for K0009? Based on 3 providers billing this code nationally.

Median

$5,151.25

Average

$5,520.09

Std Dev

$683.02

Max

$6,308.23

Percentile Distribution (Cost per Claim)

p10
$5,110.88
p25
$5,126.02
Median
$5,151.25
p75
$5,729.74
p90
$6,076.83
p95
$6,192.53
p99
$6,285.09

50% of providers bill between $5,126.02 and $5,729.74 per claim for this code.

90% bill between $5,110.88 and $6,076.83.

Top 1% bill above $6,285.09.

About This Procedure

HCPCS code K0009 was billed by 3 providers across 310 claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 293 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5,151.25

Providers Billing

3

National Spending

$1.6M

Avg/Median Ratio

1.07×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.