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#4390 of 11K

K0842

HCPCS Procedure Code

HCPCS code K0842 is the #4,390 most-billed Medicaid procedure code, with $617K in payments across 858 claims from 2018–2024. The national median cost per claim is $704.14.

Total Paid

$617K

0.00% of all spending

Total Claims

858

Providers

3

Avg Cost/Claim

$720

National Cost Distribution

How much do providers bill per claim for K0842? Based on 3 providers billing this code nationally.

Median

$704.14

Average

$748.42

Std Dev

$333.88

Max

$1,102.23

Percentile Distribution (Cost per Claim)

p10
$491.95
p25
$571.52
Median
$704.14
p75
$903.18
p90
$1,022.61
p95
$1,062.42
p99
$1,094.27

50% of providers bill between $571.52 and $903.18 per claim for this code.

90% bill between $491.95 and $1,022.61.

Top 1% bill above $1,094.27.

About This Procedure

HCPCS code K0842 was billed by 3 providers across 858 claims, totaling $617K in Medicaid payments from 2018–2024. This code was used for 585 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$704.14

Providers Billing

3

National Spending

$617K

Avg/Median Ratio

1.06×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.