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#6785 of 11K

K0815

HCPCS Procedure Code

HCPCS code K0815 is the #6,785 most-billed Medicaid procedure code, with $43K in payments across 25 claims from 2018–2024. The national median cost per claim is $1,649.00.

Total Paid

$43K

0.00% of all spending

Total Claims

25

Providers

2

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for K0815? Based on 2 providers billing this code nationally.

Median

$1,649.00

Average

$1,649.00

Std Dev

$2,307.89

Max

$3,280.92

Percentile Distribution (Cost per Claim)

p10
$343.46
p25
$833.04
Median
$1,649.00
p75
$2,464.96
p90
$2,954.54
p95
$3,117.73
p99
$3,248.29

50% of providers bill between $833.04 and $2,464.96 per claim for this code.

90% bill between $343.46 and $2,954.54.

Top 1% bill above $3,248.29.

About This Procedure

HCPCS code K0815 was billed by 2 providers across 25 claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 25 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,649.00

Providers Billing

2

National Spending

$43K

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.