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#676 of 11K

R0070

HCPCS Procedure Code

HCPCS code R0070 is the #676 most-billed Medicaid procedure code, with $107.5M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $18.06. Costs vary widely — the 90th percentile is $78.15 per claim, 4.3× the median.

Total Paid

$107.5M

0.01% of all spending

Total Claims

3.6M

Providers

386

Avg Cost/Claim

$29

National Cost Distribution

How much do providers bill per claim for R0070? Based on 370 providers billing this code nationally.

Median

$18.06

Average

$33.53

Std Dev

$37.61

Max

$221.90

Percentile Distribution (Cost per Claim)

p10
$2.75
p25
$7.44
Median
$18.06
p75
$51.98
p90
$78.15
p95
$107.30
p99
$163.46

50% of providers bill between $7.44 and $51.98 per claim for this code.

90% bill between $2.75 and $78.15.

Top 1% bill above $163.46.

About This Procedure

HCPCS code R0070 was billed by 386 providers across 3.6M claims, totaling $107.5M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.06

Providers Billing

370

National Spending

$107.5M

Avg/Median Ratio

1.86×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for R0070

#ProviderTotal Paid
11700865094$18.7M
21437108842$4.0M
31073560157$3.9M
41750364345$3.8M
51245322627$3.0M
61417265174$2.7M
71578637369$2.4M
81508890591$2.3M
91770949737$2.2M
101629188842$2.1M
111598891582$2.1M
121023104007$1.9M
131356779029$1.9M
141710423785$1.9M
151316254857$1.8M
161235468059$1.5M
171801835889$1.5M
181669424743$1.4M
191295715266$1.4M
201164885992$1.4M

Showing top 20 of 386 providers billing this code

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