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#1303 of 11K

R0075

HCPCS Procedure Code

HCPCS code R0075 is the #1,303 most-billed Medicaid procedure code, with $28.2M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $9.56. Costs vary widely — the 90th percentile is $33.30 per claim, 3.5× the median.

Total Paid

$28.2M

0.00% of all spending

Total Claims

1.9M

Providers

259

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for R0075? Based on 243 providers billing this code nationally.

Median

$9.56

Average

$14.97

Std Dev

$15.42

Max

$90.17

Percentile Distribution (Cost per Claim)

p10
$1.17
p25
$3.72
Median
$9.56
p75
$25.01
p90
$33.30
p95
$38.48
p99
$79.39

50% of providers bill between $3.72 and $25.01 per claim for this code.

90% bill between $1.17 and $33.30.

Top 1% bill above $79.39.

About This Procedure

HCPCS code R0075 was billed by 259 providers across 1.9M claims, totaling $28.2M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.56

Providers Billing

243

National Spending

$28.2M

Avg/Median Ratio

1.57×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for R0075

#ProviderTotal Paid
11700865094$6.7M
21730259805$4.4M
31750364345$1.3M
41790700599$1.2M
51629188842$1.1M
61073560157$755K
71770949737$725K
81669424743$620K
91316254857$609K
101932376233$583K
111437108842$545K
121023104007$527K
131245322627$514K
141356779029$466K
151508890591$434K
161235468059$416K
171467460360$353K
181598891582$341K
191801835889$335K
201164885992$309K

Showing top 20 of 259 providers billing this code

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