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#3943 of 11K

K0862

HCPCS Procedure Code

HCPCS code K0862 is the #3,943 most-billed Medicaid procedure code, with $996K in payments across 319 claims from 2018–2024. The national median cost per claim is $3,358.09.

Total Paid

$996K

0.00% of all spending

Total Claims

319

Providers

3

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for K0862? Based on 3 providers billing this code nationally.

Median

$3,358.09

Average

$3,663.48

Std Dev

$826.32

Max

$4,599.02

Percentile Distribution (Cost per Claim)

p10
$3,098.28
p25
$3,195.71
Median
$3,358.09
p75
$3,978.55
p90
$4,350.83
p95
$4,474.93
p99
$4,574.20

50% of providers bill between $3,195.71 and $3,978.55 per claim for this code.

90% bill between $3,098.28 and $4,350.83.

Top 1% bill above $4,574.20.

About This Procedure

HCPCS code K0862 was billed by 3 providers across 319 claims, totaling $996K in Medicaid payments from 2018–2024. This code was used for 188 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3,358.09

Providers Billing

3

National Spending

$996K

Avg/Median Ratio

1.09×

Normal distribution

Provider Coverage

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