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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043209794 | $36K |
| 2 | 1487624193 | $35K |
| 3 | 1184883472 | $22K |
| 4 | 1932484979 | $14K |
| 5 | 1003889684 | $10K |
| 6 | 1326011263 | $7K |
| 7 | 1972573137 | $7K |
| 8 | 1003052598 | $6K |
| 9 | 1366704579 | $6K |
| 10 | 1144458209 | $5K |
| 11 | 1346711884 | $5K |
| 12 | 1518231547 | $4K |
| 13 | 1891768735 | $4K |
| 14 | 1912978669 | $4K |
| 15 | 1215933791 | $4K |
| 16 | 1538576509 | $3K |
| 17 | 1801866173 | $3K |
| 18 | 1841263621 | $2K |
| 19 | 1619971025 | $2K |
| 20 | 1477526333 | $2K |
Showing top 20 of 47 providers billing this code