K0042
HCPCS Procedure Code
HCPCS code K0042 is the #8,074 most-billed Medicaid procedure code, with $6K in payments across 118 claims from 2018–2024. The national median cost per claim is $56.22.
Total Paid
$6K
0.00% of all spending
Total Claims
118
Providers
2
Avg Cost/Claim
$55
National Cost Distribution
How much do providers bill per claim for K0042? Based on 2 providers billing this code nationally.
Median
$56.22
Average
$56.22
Std Dev
$2.86
Max
$58.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $55.21 and $57.23 per claim for this code.
90% bill between $54.61 and $57.84.
Top 1% bill above $58.20.
About This Procedure
HCPCS code K0042 was billed by 2 providers across 118 claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 114 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$56.22
Providers Billing
2
National Spending
$6K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.