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#2413 of 11K

X0621

HCPCS Procedure Code

HCPCS code X0621 is the #2,413 most-billed Medicaid procedure code, with $6.0M in payments across 26K claims from 2018–2024. The national median cost per claim is $212.75.

Total Paid

$6.0M

0.00% of all spending

Total Claims

26K

Providers

34

Avg Cost/Claim

$226

National Cost Distribution

How much do providers bill per claim for X0621? Based on 34 providers billing this code nationally.

Median

$212.75

Average

$228.52

Std Dev

$84.00

Max

$557.01

Percentile Distribution (Cost per Claim)

p10
$193.01
p25
$199.66
Median
$212.75
p75
$227.41
p90
$267.40
p95
$364.08
p99
$539.83

50% of providers bill between $199.66 and $227.41 per claim for this code.

90% bill between $193.01 and $267.40.

Top 1% bill above $539.83.

About This Procedure

HCPCS code X0621 was billed by 34 providers across 26K claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$212.75

Providers Billing

34

National Spending

$6.0M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for X0621

#ProviderTotal Paid
1Reading Hospital

West Reading, PA · Surgery

$1.4M
21013933175$777K
31801897038$554K
41437551868$511K
5Lehigh Valley Hospital

Allentown, PA · Psychiatric Unit

$353K
61548322720$292K
71144249657$284K
81568459436$272K
91245335629$174K
101124026182$172K
111104875103$137K
121942276423$127K
131235215427$97K
141922376136$94K
151407856099$92K
161124076039$87K
171750805552$79K
181356334510$78K
191235138405$60K
201730158981$47K

Showing top 20 of 34 providers billing this code