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#5459 of 11K

K0038

HCPCS Procedure Code

HCPCS code K0038 is the #5,459 most-billed Medicaid procedure code, with $194K in payments across 11K claims from 2018–2024. The national median cost per claim is $18.00.

Total Paid

$194K

0.00% of all spending

Total Claims

11K

Providers

47

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for K0038? Based on 46 providers billing this code nationally.

Median

$18.00

Average

$18.57

Std Dev

$7.23

Max

$45.28

Percentile Distribution (Cost per Claim)

p10
$13.29
p25
$15.08
Median
$18.00
p75
$21.12
p90
$23.31
p95
$24.37
p99
$45.17

50% of providers bill between $15.08 and $21.12 per claim for this code.

90% bill between $13.29 and $23.31.

Top 1% bill above $45.17.

About This Procedure

HCPCS code K0038 was billed by 47 providers across 11K claims, totaling $194K in Medicaid payments from 2018–2024. This code was used for 9,622 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.00

Providers Billing

46

National Spending

$194K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0038

#ProviderTotal Paid
11043209794$36K
21487624193$35K
31184883472$22K
41932484979$14K
51003889684$10K
61326011263$7K
71972573137$7K
81003052598$6K
91366704579$6K
101144458209$5K
111346711884$5K
121518231547$4K
131891768735$4K
141912978669$4K
151215933791$4K
161538576509$3K
171801866173$3K
181841263621$2K
191619971025$2K
201477526333$2K

Showing top 20 of 47 providers billing this code