OP270
HCPCS Procedure Code
HCPCS code OP270 is the #1,968 most-billed Medicaid procedure code, with $10.8M in payments across 504K claims from 2018–2024. The national median cost per claim is $7.34. Costs vary widely — the 90th percentile is $49.72 per claim, 6.8× the median.
Total Paid
$10.8M
0.00% of all spending
Total Claims
504K
Providers
73
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for OP270? Based on 69 providers billing this code nationally.
Median
$7.34
Average
$17.57
Std Dev
$27.50
Max
$183.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.74 and $24.08 per claim for this code.
90% bill between $1.70 and $49.72.
Top 1% bill above $122.58.
About This Procedure
HCPCS code OP270 was billed by 73 providers across 504K claims, totaling $10.8M in Medicaid payments from 2018–2024. This code was used for 422K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.34
Providers Billing
69
National Spending
$10.8M
Avg/Median Ratio
2.39×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for OP270
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Hospital Newark, NJ · General Acute Care Hospital | $2.4M |
| 2 | Ahs Hospital Corp. Morristown, NJ · General Acute Care Hospital | $1.5M |
| 3 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $1.2M |
| 4 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $1.0M |
| 5 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $974K |
| 6 | 1811994809 | $565K |
| 7 | 1922095116 | $379K |
| 8 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $349K |
| 9 | 1770901761 | $332K |
| 10 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $228K |
| 11 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $210K |
| 12 | 1861486870 | $201K |
| 13 | Cooperman Barnabas Medical Center Inc Livingston, NJ · General Acute Care Hospital | $160K |
| 14 | 1295718450 | $150K |
| 15 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $115K |
| 16 | 1013386143 | $93K |
| 17 | 1568825545 | $78K |
| 18 | 1366097032 | $63K |
| 19 | 1790789212 | $60K |
| 20 | 1730692344 | $55K |
Showing top 20 of 73 providers billing this code