K0821
HCPCS Procedure Code
HCPCS code K0821 is the #2,796 most-billed Medicaid procedure code, with $3.6M in payments across 54K claims from 2018–2024. The national median cost per claim is $86.79. Costs vary widely — the 90th percentile is $322.14 per claim, 3.7× the median.
Total Paid
$3.6M
0.00% of all spending
Total Claims
54K
Providers
55
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for K0821? Based on 55 providers billing this code nationally.
Median
$86.79
Average
$144.01
Std Dev
$161.33
Max
$847.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $51.64 and $189.60 per claim for this code.
90% bill between $26.52 and $322.14.
Top 1% bill above $737.84.
About This Procedure
HCPCS code K0821 was billed by 55 providers across 54K claims, totaling $3.6M in Medicaid payments from 2018–2024. This code was used for 45K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$86.79
Providers Billing
55
National Spending
$3.6M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for K0821
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1538373998 | $849K |
| 2 | 1790714624 | $513K |
| 3 | 1720196983 | $368K |
| 4 | 1851320774 | $275K |
| 5 | 1487718250 | $182K |
| 6 | 1568491496 | $181K |
| 7 | 1740344522 | $149K |
| 8 | 1669844650 | $111K |
| 9 | 1871710715 | $99K |
| 10 | 1457396376 | $81K |
| 11 | 1215039466 | $80K |
| 12 | 1578531356 | $78K |
| 13 | 1669417531 | $73K |
| 14 | 1205837879 | $60K |
| 15 | 1902205099 | $57K |
| 16 | 1487624193 | $37K |
| 17 | 1568536860 | $36K |
| 18 | 1700402989 | $34K |
| 19 | 1407894348 | $30K |
| 20 | 1376073031 | $28K |
Showing top 20 of 55 providers billing this code