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#5280 of 11K

W0655

HCPCS Procedure Code

HCPCS code W0655 is the #5,280 most-billed Medicaid procedure code, with $242K in payments across 2,363 claims from 2018–2024. The national median cost per claim is $84.24. Costs vary widely — the 90th percentile is $170.38 per claim, 2.0× the median.

Total Paid

$242K

0.00% of all spending

Total Claims

2,363

Providers

3

Avg Cost/Claim

$103

National Cost Distribution

How much do providers bill per claim for W0655? Based on 3 providers billing this code nationally.

Median

$84.24

Average

$101.03

Std Dev

$83.77

Max

$191.91

Percentile Distribution (Cost per Claim)

p10
$38.39
p25
$55.58
Median
$84.24
p75
$138.08
p90
$170.38
p95
$181.14
p99
$189.76

50% of providers bill between $55.58 and $138.08 per claim for this code.

90% bill between $38.39 and $170.38.

Top 1% bill above $189.76.

About This Procedure

HCPCS code W0655 was billed by 3 providers across 2,363 claims, totaling $242K in Medicaid payments from 2018–2024. This code was used for 1,359 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$84.24

Providers Billing

3

National Spending

$242K

Avg/Median Ratio

1.20×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.