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#3115 of 11K

W0230

HCPCS Procedure Code

HCPCS code W0230 is the #3,115 most-billed Medicaid procedure code, with $2.5M in payments across 365 claims from 2018–2024. The national median cost per claim is $6,181.32.

Total Paid

$2.5M

0.00% of all spending

Total Claims

365

Providers

4

Avg Cost/Claim

$7K

National Cost Distribution

How much do providers bill per claim for W0230? Based on 4 providers billing this code nationally.

Median

$6,181.32

Average

$6,559.22

Std Dev

$1,859.47

Max

$8,859.82

Percentile Distribution (Cost per Claim)

p10
$5,035.29
p25
$5,066.63
Median
$6,181.32
p75
$7,673.91
p90
$8,385.46
p95
$8,622.64
p99
$8,812.39

50% of providers bill between $5,066.63 and $7,673.91 per claim for this code.

90% bill between $5,035.29 and $8,385.46.

Top 1% bill above $8,812.39.

About This Procedure

HCPCS code W0230 was billed by 4 providers across 365 claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 322 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6,181.32

Providers Billing

4

National Spending

$2.5M

Avg/Median Ratio

1.06×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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