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#8074 of 11K

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)

p10
$54.61
p25
$55.21
Median
$56.22
p75
$57.23
p90
$57.84
p95
$58.04
p99
$58.20

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.