0003M
HCPCS Procedure Code
HCPCS code 0003M is the #6,856 most-billed Medicaid procedure code, with $39K in payments across 957 claims from 2018–2024. The national median cost per claim is $58.87.
Total Paid
$39K
0.00% of all spending
Total Claims
957
Providers
4
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for 0003M? Based on 4 providers billing this code nationally.
Median
$58.87
Average
$52.74
Std Dev
$26.34
Max
$74.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.04 and $73.58 per claim for this code.
90% bill between $26.70 and $73.88.
Top 1% bill above $74.06.
About This Procedure
HCPCS code 0003M was billed by 4 providers across 957 claims, totaling $39K in Medicaid payments from 2018–2024. This code was used for 804 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$58.87
Providers Billing
4
National Spending
$39K
Avg/Median Ratio
0.90×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.