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#5338 of 11K

K0813

HCPCS Procedure Code

HCPCS code K0813 is the #5,338 most-billed Medicaid procedure code, with $225K in payments across 1,303 claims from 2018–2024. The national median cost per claim is $118.54.

Total Paid

$225K

0.00% of all spending

Total Claims

1,303

Providers

2

Avg Cost/Claim

$173

National Cost Distribution

How much do providers bill per claim for K0813? Based on 2 providers billing this code nationally.

Median

$118.54

Average

$118.54

Std Dev

$80.96

Max

$175.79

Percentile Distribution (Cost per Claim)

p10
$72.75
p25
$89.92
Median
$118.54
p75
$147.17
p90
$164.34
p95
$170.07
p99
$174.64

50% of providers bill between $89.92 and $147.17 per claim for this code.

90% bill between $72.75 and $164.34.

Top 1% bill above $174.64.

About This Procedure

HCPCS code K0813 was billed by 2 providers across 1,303 claims, totaling $225K in Medicaid payments from 2018–2024. This code was used for 1,272 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$118.54

Providers Billing

2

National Spending

$225K

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.