K1034
HCPCS Procedure Code
HCPCS code K1034 is the #1,196 most-billed Medicaid procedure code, with $34.1M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $2.76. Costs vary widely — the 90th percentile is $76.60 per claim, 27.8× the median.
Total Paid
$34.1M
0.00% of all spending
Total Claims
1.2M
Providers
962
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for K1034? Based on 373 providers billing this code nationally.
Median
$2.76
Average
$21.49
Std Dev
$31.29
Max
$108.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.03 and $41.34 per claim for this code.
90% bill between $0.35 and $76.60.
Top 1% bill above $97.55.
About This Procedure
HCPCS code K1034 was billed by 962 providers across 1.2M claims, totaling $34.1M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.76
Providers Billing
373
National Spending
$34.1M
Avg/Median Ratio
7.79×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for K1034
| # | Provider | Total Paid |
|---|---|---|
| 1 | Quick Med Urgent Care Llc Youngstown, OH · Clinic/Center Urgent Care | $10.9M |
| 2 | 1235422403 | $10.8M |
| 3 | Planned Parenthood Of Greater Ohio Akron, OH · Clinic/Center Ambulatory Family Planning Facility | $7.3M |
| 4 | 1598107526 | $945K |
| 5 | 1063855294 | $885K |
| 6 | 1013924125 | $879K |
| 7 | 1952488207 | $268K |
| 8 | 1992030712 | $213K |
| 9 | 1831862085 | $147K |
| 10 | 1407314925 | $98K |
| 11 | 1447702493 | $98K |
| 12 | 1376648899 | $96K |
| 13 | 1619621497 | $77K |
| 14 | 1114957123 | $60K |
| 15 | 1881620276 | $52K |
| 16 | 1598257503 | $52K |
| 17 | 1700300506 | $47K |
| 18 | 1699402180 | $45K |
| 19 | 1003077322 | $29K |
| 20 | 1841968831 | $29K |
Showing top 20 of 962 providers billing this code