K0455
HCPCS Procedure Code
HCPCS code K0455 is the #4,694 most-billed Medicaid procedure code, with $446K in payments across 12K claims from 2018–2024. The national median cost per claim is $27.80.
Total Paid
$446K
0.00% of all spending
Total Claims
12K
Providers
10
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for K0455? Based on 10 providers billing this code nationally.
Median
$27.80
Average
$34.06
Std Dev
$22.31
Max
$83.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.03 and $44.81 per claim for this code.
90% bill between $12.69 and $55.38.
Top 1% bill above $80.31.
About This Procedure
HCPCS code K0455 was billed by 10 providers across 12K claims, totaling $446K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.80
Providers Billing
10
National Spending
$446K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for K0455
| # | Provider | Total Paid |
|---|---|---|
| 1 | Accredo Health Group Inc Warrendale, PA · Pharmacy, Community/Retail Pharmacy | $249K |
| 2 | 1952359150 | $125K |
| 3 | 1013998921 | $16K |
| 4 | 1134100134 | $14K |
| 5 | Accredo Health Group Inc Orlando, FL · Pharmacy Specialty Pharmacy | $13K |
| 6 | 1821043027 | $11K |
| 7 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $10K |
| 8 | 1629232756 | $8K |
| 9 | 1710933007 | $732 |
| 10 | 1407807191 | $423 |
Showing top 10 of 10 providers billing this code