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#2472 of 11K

X0215

HCPCS Procedure Code

HCPCS code X0215 is the #2,472 most-billed Medicaid procedure code, with $5.5M in payments across 341K claims from 2018–2024. The national median cost per claim is $17.89.

Total Paid

$5.5M

0.00% of all spending

Total Claims

341K

Providers

26

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for X0215? Based on 26 providers billing this code nationally.

Median

$17.89

Average

$18.56

Std Dev

$6.29

Max

$37.68

Percentile Distribution (Cost per Claim)

p10
$12.53
p25
$15.45
Median
$17.89
p75
$20.64
p90
$24.69
p95
$30.06
p99
$36.12

50% of providers bill between $15.45 and $20.64 per claim for this code.

90% bill between $12.53 and $24.69.

Top 1% bill above $36.12.

About This Procedure

HCPCS code X0215 was billed by 26 providers across 341K claims, totaling $5.5M in Medicaid payments from 2018–2024. This code was used for 232K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.89

Providers Billing

26

National Spending

$5.5M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X0215

#ProviderTotal Paid
11366570384$2.3M
21659407633$1.3M
31588875348$343K
41669695375$254K
51144361742$211K
61053451393$187K
71962548503$156K
81144361007$154K
91932266202$149K
101619016599$145K
111063846558$78K
121073717807$42K
131649506700$40K
141326170705$38K
151861526170$17K
161578778320$13K
171124877634$13K
181689066003$12K
191215005103$10K
201568592616$8K

Showing top 20 of 26 providers billing this code

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