Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5372 of 11K

K0835

HCPCS Procedure Code

HCPCS code K0835 is the #5,372 most-billed Medicaid procedure code, with $217K in payments across 254 claims from 2018–2024. The national median cost per claim is $1,064.74.

Total Paid

$217K

0.00% of all spending

Total Claims

254

Providers

4

Avg Cost/Claim

$854

National Cost Distribution

How much do providers bill per claim for K0835? Based on 4 providers billing this code nationally.

Median

$1,064.74

Average

$1,082.13

Std Dev

$597.84

Max

$1,828.54

Percentile Distribution (Cost per Claim)

p10
$559.67
p25
$843.39
Median
$1,064.74
p75
$1,303.48
p90
$1,618.51
p95
$1,723.53
p99
$1,807.54

50% of providers bill between $843.39 and $1,303.48 per claim for this code.

90% bill between $559.67 and $1,618.51.

Top 1% bill above $1,807.54.

About This Procedure

HCPCS code K0835 was billed by 4 providers across 254 claims, totaling $217K in Medicaid payments from 2018–2024. This code was used for 233 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,064.74

Providers Billing

4

National Spending

$217K

Avg/Median Ratio

1.02×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.