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#4312 of 11K

K0822

HCPCS Procedure Code

HCPCS code K0822 is the #4,312 most-billed Medicaid procedure code, with $672K in payments across 13K claims from 2018–2024. The national median cost per claim is $44.44. Costs vary widely — the 90th percentile is $293.70 per claim, 6.6× the median.

Total Paid

$672K

0.00% of all spending

Total Claims

13K

Providers

13

Avg Cost/Claim

$52

National Cost Distribution

How much do providers bill per claim for K0822? Based on 13 providers billing this code nationally.

Median

$44.44

Average

$328.14

Std Dev

$930.33

Max

$3,411.73

Percentile Distribution (Cost per Claim)

p10
$23.93
p25
$28.54
Median
$44.44
p75
$70.90
p90
$293.70
p95
$1,566.21
p99
$3,042.62

50% of providers bill between $28.54 and $70.90 per claim for this code.

90% bill between $23.93 and $293.70.

Top 1% bill above $3,042.62.

About This Procedure

HCPCS code K0822 was billed by 13 providers across 13K claims, totaling $672K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.44

Providers Billing

13

National Spending

$672K

Avg/Median Ratio

7.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for K0822

#ProviderTotal Paid
11023096104$360K
21609958362$167K
31003065418$58K
41720351786$37K
51588994610$12K
61851328157$10K
71457396376$7K
81982841227$6K
91649413022$6K
101790881530$5K
111922248392$2K
121033374517$1K
131538165642$851

Showing top 13 of 13 providers billing this code