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#6584 of 11K

K0015

HCPCS Procedure Code

HCPCS code K0015 is the #6,584 most-billed Medicaid procedure code, with $54K in payments across 2,013 claims from 2018–2024. The national median cost per claim is $42.50.

Total Paid

$54K

0.00% of all spending

Total Claims

2,013

Providers

3

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for K0015? Based on 3 providers billing this code nationally.

Median

$42.50

Average

$41.49

Std Dev

$16.09

Max

$57.06

Percentile Distribution (Cost per Claim)

p10
$28.43
p25
$33.71
Median
$42.50
p75
$49.78
p90
$54.15
p95
$55.60
p99
$56.77

50% of providers bill between $33.71 and $49.78 per claim for this code.

90% bill between $28.43 and $54.15.

Top 1% bill above $56.77.

About This Procedure

HCPCS code K0015 was billed by 3 providers across 2,013 claims, totaling $54K in Medicaid payments from 2018–2024. This code was used for 1,228 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.50

Providers Billing

3

National Spending

$54K

Avg/Median Ratio

0.98×

Normal distribution

Provider Coverage

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