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#6856 of 11K

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)

p10
$26.70
p25
$38.04
Median
$58.87
p75
$73.58
p90
$73.88
p95
$73.98
p99
$74.06

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.