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#3511 of 11K

T1009

HCPCS Procedure Code

HCPCS code T1009 is the #3,511 most-billed Medicaid procedure code, with $1.6M in payments across 12K claims from 2018–2024. The national median cost per claim is $74.83. Costs vary widely — the 90th percentile is $264.39 per claim, 3.5× the median.

Total Paid

$1.6M

0.00% of all spending

Total Claims

12K

Providers

5

Avg Cost/Claim

$133

National Cost Distribution

How much do providers bill per claim for T1009? Based on 3 providers billing this code nationally.

Median

$74.83

Average

$138.59

Std Dev

$151.72

Max

$311.78

Percentile Distribution (Cost per Claim)

p10
$38.29
p25
$51.99
Median
$74.83
p75
$193.31
p90
$264.39
p95
$288.09
p99
$307.04

50% of providers bill between $51.99 and $193.31 per claim for this code.

90% bill between $38.29 and $264.39.

Top 1% bill above $307.04.

About This Procedure

HCPCS code T1009 was billed by 5 providers across 12K claims, totaling $1.6M in Medicaid payments from 2018–2024. This code was used for 1,440 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$74.83

Providers Billing

3

National Spending

$1.6M

Avg/Median Ratio

1.85×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for T1009

#ProviderTotal Paid
11538388665$1.0M
21841325172$552K
31538450267$25K
41902191471$0
51003229006$0

Showing top 5 of 5 providers billing this code