K0056
HCPCS Procedure Code
HCPCS code K0056 is the #6,876 most-billed Medicaid procedure code, with $38K in payments across 1,261 claims from 2018–2024. The national median cost per claim is $14.97. Costs vary widely — the 90th percentile is $53.00 per claim, 3.5× the median.
Total Paid
$38K
0.00% of all spending
Total Claims
1,261
Providers
8
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for K0056? Based on 8 providers billing this code nationally.
Median
$14.97
Average
$24.15
Std Dev
$20.21
Max
$58.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.51 and $33.84 per claim for this code.
90% bill between $7.14 and $53.00.
Top 1% bill above $58.39.
About This Procedure
HCPCS code K0056 was billed by 8 providers across 1,261 claims, totaling $38K in Medicaid payments from 2018–2024. This code was used for 964 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.97
Providers Billing
8
National Spending
$38K
Avg/Median Ratio
1.61×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for K0056
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639296817 | $27K |
| 2 | 1730182023 | $6K |
| 3 | 1447429642 | $2K |
| 4 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $1K |
| 5 | 1457314130 | $771 |
| 6 | 1427153626 | $570 |
| 7 | 1659361947 | $453 |
| 8 | 1134303902 | $62 |
Showing top 8 of 8 providers billing this code