K0801
HCPCS Procedure Code
HCPCS code K0801 is the #5,224 most-billed Medicaid procedure code, with $257K in payments across 2,306 claims from 2018–2024. The national median cost per claim is $378.76. Costs vary widely — the 90th percentile is $1,648.94 per claim, 4.4× the median.
Total Paid
$257K
0.00% of all spending
Total Claims
2,306
Providers
7
Avg Cost/Claim
$112
National Cost Distribution
How much do providers bill per claim for K0801? Based on 7 providers billing this code nationally.
Median
$378.76
Average
$670.80
Std Dev
$719.31
Max
$1,739.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $94.20 and $1,161.53 per claim for this code.
90% bill between $77.37 and $1,648.94.
Top 1% bill above $1,730.30.
About This Procedure
HCPCS code K0801 was billed by 7 providers across 2,306 claims, totaling $257K in Medicaid payments from 2018–2024. This code was used for 2,300 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$378.76
Providers Billing
7
National Spending
$257K
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for K0801
| # | Provider | Total Paid |
|---|---|---|
| 1 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $140K |
| 2 | 1407894348 | $60K |
| 3 | 1265405815 | $21K |
| 4 | 1225001894 | $19K |
| 5 | 1841263621 | $11K |
| 6 | 1407245293 | $5K |
| 7 | 1457396376 | $2K |
Showing top 7 of 7 providers billing this code