Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4866 of 11K

K0070

HCPCS Procedure Code

HCPCS code K0070 is the #4,866 most-billed Medicaid procedure code, with $369K in payments across 2,701 claims from 2018–2024. The national median cost per claim is $197.46.

Total Paid

$369K

0.00% of all spending

Total Claims

2,701

Providers

19

Avg Cost/Claim

$136

National Cost Distribution

How much do providers bill per claim for K0070? Based on 19 providers billing this code nationally.

Median

$197.46

Average

$185.85

Std Dev

$87.69

Max

$305.34

Percentile Distribution (Cost per Claim)

p10
$55.04
p25
$149.49
Median
$197.46
p75
$248.41
p90
$284.59
p95
$302.13
p99
$304.70

50% of providers bill between $149.49 and $248.41 per claim for this code.

90% bill between $55.04 and $284.59.

Top 1% bill above $304.70.

About This Procedure

HCPCS code K0070 was billed by 19 providers across 2,701 claims, totaling $369K in Medicaid payments from 2018–2024. This code was used for 2,122 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$197.46

Providers Billing

19

National Spending

$369K

Avg/Median Ratio

0.94×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0070

#ProviderTotal Paid
11932484979$81K
21841263621$78K
31780758219$60K
41518042563$29K
51679546519$24K
61922172519$17K
71396713525$14K
81043209794$11K
91487624193$11K
101881779825$9K
111538576509$7K
121609976893$5K
131003889684$4K
141972573137$4K
151912987132$4K
161902829500$3K
171578531356$3K
181912949702$2K
191346326360$2K

Showing top 19 of 19 providers billing this code