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#219 of 11K

T2028

Specialized supply, NOS; per unit

Specialized supply, NOS; per unit is the #219 most-billed Medicaid procedure code, with $702.0M in payments across 9.2M claims from 2018–2024. The national median cost per claim is $79.30. Costs vary widely — the 90th percentile is $320.77 per claim, 4.0× the median.

Total Paid

$702.0M

0.06% of all spending

Total Claims

9.2M

Providers

302

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for T2028? Based on 291 providers billing this code nationally.

Median

$79.30

Average

$184.80

Std Dev

$376.13

Max

$3,269.23

Percentile Distribution (Cost per Claim)

p10
$28.96
p25
$47.91
Median
$79.30
p75
$166.98
p90
$320.77
p95
$562.28
p99
$2,078.46

50% of providers bill between $47.91 and $166.98 per claim for this code.

90% bill between $28.96 and $320.77.

Top 1% bill above $2,078.46.

About This Procedure

HCPCS code T2028 (Specialized supply, NOS; per unit) was billed by 302 providers across 9.2M claims, totaling $702.0M in Medicaid payments from 2018–2024. This code was used for 795K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.30

Providers Billing

291

National Spending

$702.0M

Avg/Median Ratio

2.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for T2028

#ProviderTotal Paid
1Not Found

Unknown, Unknown · Unknown

$70.7M
21699860650$69.6M
3Not Found

Unknown, Unknown · Unknown

$55.9M
4A544125100$47.3M
5Not Found

Unknown, Unknown · Unknown

$40.7M
6Not Found

Unknown, Unknown · Unknown

$38.3M
7Not Found

Unknown, Unknown · Unknown

$35.0M
8Not Found

Unknown, Unknown · Unknown

$31.2M
9Not Found

Unknown, Unknown · Unknown

$31.0M
10Not Found

Unknown, Unknown · Unknown

$30.5M
11Not Found

Unknown, Unknown · Unknown

$28.4M
12Acumen Fiscal Agent Llc

Mesa, AZ · Community/Behavioral Health

$22.8M
13Not Found

Unknown, Unknown · Unknown

$22.5M
14Guardiantrac. Llc

Sturgis, MI · Community/Behavioral Health

$22.4M
15Not Found

Unknown, Unknown · Unknown

$21.4M
16Not Found

Unknown, Unknown · Unknown

$20.5M
17Not Found

Unknown, Unknown · Unknown

$15.5M
18Alabama Department Of Mental Health And Mental Retardation

Montgomery, AL · Community/Behavioral Health

$11.0M
191962440891$7.2M
201073660528$5.7M

Showing top 20 of 302 providers billing this code